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General NPI Number Information
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NPI Number | 1871460162
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Entity Type | Organization
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Legal Business Name | RADIANT LIFE GROUP HOMES, LLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2852 HICKORY CREEK DR
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City | ORLANDO
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State | FL
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Zip | 32818-3066
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Country | US
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Telephone | 352-386-6482
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Fax |
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Provider Business Mailing Address
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Address Line | 2852 HICKORY CREEK DR
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City | ORLANDO
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State | FL
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Zip | 32818-3066
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Country | US
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Telephone | 352-386-6482
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Fax |
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Authorized Official
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Title or Position | CO-OWNER ; ADMINISTRATOR
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Name | MS. VALERIE BELVU
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Credential | COO AND TEAM LEADER
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Telephone | 352-386-6482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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