Radiant Recovery Residences LLC
NPI #1942065123 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1942065123
- Entity Type
- Organization
- Organization Name
- Radiant Recovery Residences LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Feb 17, 2024
Practice Location
- Address
- 1955 UNIVERSITY AVE W STE 205
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-3592
- Phone
- (612) 232-9089
Authorized Official
- Name
- MOHAMED A ALI
- Title
- CEO
- Phone
- (612) 232-9089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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