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1124423454
RADIANT HOME CARE LLC
GALLUP, NM
NPI
1124423454
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Entity Type
Organization
Authorized Contact
DERRICK BONNEY
Program Director
505-722-9951
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2014-10-29
Last Update Date
2014-10-29
Business Address
RADIANT HOME CARE LLC
101 SOUTH CLARK STREET
GALLUP, NM 87301
Phone number: 505-722-9951
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Mailing Address
RADIANT HOME CARE LLC
101 SOUTH CLARK STREET
GALLUP, NM 87301
Phone number: 505-722-9951
Copy
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