NPI 1558800490

Radiant Home Care

Organisation In Home Supportive Care Agency Gallup, NM

Practice location

Address: 101 S Clark St, Gallup, NM 87301-6678
Phone: (505) 722-9951
Fax: (505) 722-9952
Mailing address: 13236 W Annika Dr, Litchfield Park, AZ 85340-8363

Authorised official

Name: Juliana Ofosua Bonney
Title: Agency Director
Phone: (505) 879-1587

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in New Mexico →

Registry record

NPI: 1558800490
Entity type: Organization
NPI issued: 13 Feb 2017
Record last updated: 13 Feb 2017

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.