Organization
RADIANT STAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASPER MUKWADA FNP, MBA (ADMINISTRATOR)
(269) 267-9739
Entity
Organization
Contact information
Practice address
203 PEPPERIDGE LN, BATTLE CREEK, MI 49015-3111
(269) 267-9739
Mailing address
203 PEPPERIDGE LN, BATTLE CREEK, MI 49015-3111
(269) 267-9739
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
07/08/2022
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