Organization
KOINONIA FOSTER HOMES, INC.
Active
Other names
Koinonia Homes for Teens
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 577-7982
Entity
Organization
Contact information
Practice address
7046 BEECH AVE, ORANGEVALE, CA 95662-2656
(916) 652-0171
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-0171
(916) 652-3979
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
07/12/2018
Last updated
11/03/2025
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