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Organization

LIGHT ACCOMMODATION FOUNDATION

Active
Other names
Light Accommodation Foundation, Light Restoration Child Placing Agency
Organization subpart
No

Provider details

NPI number
Authorized official
DARYLWON D JERROLS (CEO)
(832) 489-2730
Entity
Organization

Contact information

Practice address
7322 SOUTHWEST FWY STE 1176, HOUSTON, TX 77074-2118
(832) 489-2730
Mailing address
14004 GINGER COVE CT, PEARLAND, TX 77584-1837
(832) 489-2730
(425) 660-7704

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
177F00000X
Lodging Provider
251B00000X
Case Management Agency
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
02/12/2020
Last updated
08/06/2024
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