Organization
COMFORT COVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETATIA R VANCE (ADMINISTRATOR)
(318) 572-6606
Entity
Organization
Contact information
Practice address
8924 JEWELLA AVE STE 321, SHREVEPORT, LA 71118-2100
(318) 828-1943
(318) 217-6887
Mailing address
8924 JEWELLA AVE STE 321, SHREVEPORT, LA 71118-2100
(318) 828-1943
(318) 217-6887
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/03/2022
Last updated
06/10/2025
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