Organization
COMFORT COVE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMYETTE MAGEE (CEO)
(601) 303-4692
Entity
Organization
Contact information
Practice address
3 LAIRD PITTMAN RD, TYLERTOWN, MS 39667-4960
(601) 303-4692
Mailing address
3 LAIRD PITTMAN RD, TYLERTOWN, MS 39667-4960
(601) 303-4692
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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