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Organization
KOINONIA FOSTER HOMES INC
Active
Organization
KOINONIA FOSTER HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 577-7982
Entity
Organization
Contact information
Practice address
24135 HIBISCUS LN, LAKE ELSINORE, CA 92532-2716
(951) 852-1516
Mailing address
41689 ENTERPRISE CIR N, TEMECULA, CA 92590-5630
(951) 587-4165
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
11/03/2025
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