Organization
KOINONIA FOSTER HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RADDIGAN (EXECUTIVE DIRECTOR)
(916) 577-7982
Entity
Organization
Contact information
Practice address
20432 W VALLEY BLVD, STE C & D, TEHACHAPI, CA 93561-8664
(661) 823-9738
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-5802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/03/2025
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