Organization
RADIANT RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN CLARK (OWNER)
(704) 208-1887
Entity
Organization
Contact information
Practice address
7466 BOULAIDE ST SW, CONCORD, NC 28025-6219
(704) 208-1887
Mailing address
7466 BOULAIDE ST SW, CONCORD, NC 28025-6219
(704) 208-1887
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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