Provider Demographics
NPI:1538704192
Name:RADIANT HEALTH SERVICES INC
Entity Type:Organization
Organization Name:RADIANT HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OYESHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-673-6377
Mailing Address - Street 1:7343 HANOVER PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3627
Mailing Address - Country:US
Mailing Address - Phone:240-673-6377
Mailing Address - Fax:240-673-6378
Practice Address - Street 1:7343 HANOVER PKWY STE D
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3627
Practice Address - Country:US
Practice Address - Phone:240-673-6377
Practice Address - Fax:240-673-6378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care