Organization
SKY COMFORT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC FADEL DOUNGUE TIYO (CEO)
(405) 508-1338
Entity
Organization
Contact information
Practice address
13624 DESSAU RD APT 11106, PFLUGERVILLE, TX 78660-7087
(405) 508-1338
Mailing address
13624 DESSAU RD APT 11106, PFLUGERVILLE, TX 78660-7087
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/11/2025
Last updated
10/13/2025
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