Organization
RADIANCE HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN LEWIS (OFFICER)
(404) 992-2958
Entity
Organization
Contact information
Practice address
4914 WEST ST, FOREST PARK, GA 30297-2226
(404) 761-6501
Mailing address
4914 WEST ST, FOREST PARK, GA 30297-2226
(404) 761-6501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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