Provider Demographics
NPI:1174037808
Name:JJL&W INC. T/A KOMFORT & KARE
Entity Type:Organization
Organization Name:JJL&W INC. T/A KOMFORT & KARE
Other - Org Name:KOMFORT & KARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-854-3100
Mailing Address - Street 1:424 N WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:NJ
Mailing Address - Zip Code:08049-1405
Mailing Address - Country:US
Mailing Address - Phone:856-854-3100
Mailing Address - Fax:856-854-5204
Practice Address - Street 1:266 W. LANCASTER AVENUE
Practice Address - Street 2:SUITE 300B
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3256
Practice Address - Country:US
Practice Address - Phone:610-981-4782
Practice Address - Fax:610-981-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0075846332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies