Organization
YOUR LIGHT RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDAE COMPTON (OWNER)
(330) 415-2708
Entity
Organization
Contact information
Practice address
2640 ALBION AVE, ORLANDO, FL 32833-4342
(330) 704-5903
Mailing address
20926 NETTLETON ST, ORLANDO, FL 32833-4362
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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