Organization
RADIANT CARE AFH 'LLC'
Active
Parent organization
RADIANT CARE AFH 'LLC'
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIANT CARE AFH 'LLC'
Authorized official
MR. VIJAYA KUMAR NAKKA (MEMBER)
(503) 861-8388
Entity
Organization
Contact information
Practice address
52 NW BIRCH CT, WARRENTON, OR 97146
(503) 861-8388
(503) 861-8387
Mailing address
52 NW BIRCH CT, WARRENTON, OR 97146
(503) 861-8388
(503) 861-8387
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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