Organization
ENLIGHTEN INSURANCE & SERVICES PLLC
Active
Other names
A Jewells Safe Place Affordable Living Solution
Organization subpart
No
Provider details
NPI number
Authorized official
TARANEY EPHRAIM-SURRELL (MANAGING MEMBER)
(214) 505-8609
Entity
Organization
Contact information
Practice address
6119 UNIVERSITY HILLS BLVD, DALLAS, TX 75241-2516
(469) 320-9058
Mailing address
818 FLAMINGO WAY, DUNCANVILLE, TX 75116-4021
(214) 505-8609
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/13/2024
Last updated
02/20/2024
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