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
17821 17TH ST STE 240, TUSTIN, CA 92780-2173
(714) 777-5540
(714) 777-5546
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-5802
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
11/03/2025
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