Provider Demographics
NPI:1366230427
Name:CAMILLE COMFORT CARE SERVICES
Entity type:Organization
Organization Name:CAMILLE COMFORT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-810-1191
Mailing Address - Street 1:29 SUNLIGHT CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:MS
Mailing Address - Zip Code:39478-9469
Mailing Address - Country:US
Mailing Address - Phone:601-810-1191
Mailing Address - Fax:601-395-6849
Practice Address - Street 1:273 JARRELL RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:MS
Practice Address - Zip Code:39643-5015
Practice Address - Country:US
Practice Address - Phone:601-910-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness