NPI 1124423454

Radiant Home Care LLC

Organisation In Home Supportive Care Agency Gallup, NM

Practice location

Address: 101 South Clark Street, Gallup, NM 87301
Phone: (505) 722-9951

Authorised official

Name: Derrick Bonney
Title: Program Director
Phone: (505) 722-9951

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in New Mexico →

Registry record

NPI: 1124423454
Entity type: Organization
NPI issued: 29 Oct 2014
Record last updated: 29 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.