Provider Demographics
NPI:1245664168
Name:COMFORT FOR ALL
Entity type:Organization
Organization Name:COMFORT FOR ALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:KORLUBAH
Authorized Official - Last Name:YOGBOH
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS
Authorized Official - Phone:267-343-2412
Mailing Address - Street 1:6628 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2235
Mailing Address - Country:US
Mailing Address - Phone:267-343-2412
Mailing Address - Fax:215-729-0373
Practice Address - Street 1:6628 WOODLAND AVE
Practice Address - Street 2:BASEMENT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2223
Practice Address - Country:US
Practice Address - Phone:267-343-2412
Practice Address - Fax:215-379-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102832734OtherMPI