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
406 MOTOR CITY CT, STE. F, MODESTO, CA 95356-9200
(209) 577-3737
(209) 577-6950
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(951) 587-4165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
11/03/2025
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