Organization
RADIANT HOME CARE
Active
Other names
RADIANT HOME HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIANA OFOSUA BONNEY (AGENCY DIRECTOR)
(505) 879-1587
Entity
Organization
Contact information
Practice address
101 S CLARK ST, GALLUP, NM 87301-6678
(505) 722-9951
(505) 722-9952
Mailing address
13236 W ANNIKA DR, LITCHFIELD PARK, AZ 85340-8363
(505) 722-9951
(505) 722-9952
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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