Organization
RADIANT PRIVATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ANDREE ALEXANDRE (PRESIDENT/CEO)
(954) 907-8115
Entity
Organization
Contact information
Practice address
1480 NW 52ND AVE, LAUDERHILL, FL 33313
(954) 907-8115
Mailing address
1480 NW 52ND AVE, LAUDERHILL, FL 33313-5431
(954) 907-8115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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