# RADIANCE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912464926
- **Authorized official:** PHILIP TAKU (OWNER)
- **Authorized official phone:** (407) 218-0429

## Contact information

- **Practice address:** 15765 GODDARD RD APT 108, SOUTHGATE, MI 48195-2293
- **Practice address phone:** (407) 218-0429
- **Mailing address:** 420 EUREKA RD \# 243, WYANDOTTE, MI 48192-5842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 02/26/2019