Organization
RADIANT LIGHT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL ROSA (OWNER)
(267) 916-3722
Entity
Organization
Contact information
Practice address
1440 N 2ND ST FL 1, PHILADELPHIA, PA 19122-3854
(267) 916-3722
Mailing address
1440 N 2ND ST FL 1, PHILADELPHIA, PA 19122-3854
(267) 916-3722
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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