Organization
RADIANCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP TAKU (OWNER)
(407) 218-0429
Entity
Organization
Contact information
Practice address
15765 GODDARD RD APT 108, SOUTHGATE, MI 48195-2293
(407) 218-0429
Mailing address
420 EUREKA RD # 243, WYANDOTTE, MI 48192-5842
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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