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Organization
KOINONIA FOSTER HOMES, INC.
Active
Organization
KOINONIA FOSTER HOMES, INC.
Active
Other names
Koinonia Homes for Teens
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 577-7982
Entity
Organization
Contact information
Practice address
7046 BEECH AVE, ORANGEVALE, CA 95662-2656
(916) 652-0171
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-0171
(916) 652-3979
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
07/12/2018
Last updated
11/03/2025
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