Organization
RADIANT CARE AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIJAYA KUMAR NAKKA (MEMBER)
(503) 861-8388
Entity
Organization
Contact information
Practice address
445 N MAIN AVE, WARRENTON, OR 97146-9677
(503) 861-8388
(503) 861-8387
Mailing address
52 NW BIRCH CT, WARRENTON, OR 97146-9322
(503) 861-8388
(503) 861-8387
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
525508
OR
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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