Organization
OUR RADIANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JADE HANSON (COMPLIANCE OFFICER)
(714) 770-0152
Entity
Organization
Contact information
Practice address
8619 RESEDA BLVD STE 104, NORTHRIDGE, CA 91324-4048
(818) 770-6900
Mailing address
8619 RESEDA BLVD STE 104, NORTHRIDGE, CA 91324-4048
(818) 770-6900
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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