Organization
RADIANT LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FORSTINA ANANABA (ADMINISTRATOR)
(470) 687-8646
Entity
Organization
Contact information
Practice address
1056 BROWNSTONE DR, MARIETTA, GA 30008-3233
(470) 687-8646
Mailing address
1056 BROWNSTONE DR, MARIETTA, GA 30008-3233
(470) 687-8646
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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