Provider Demographics
NPI:1912658980
Name:JJL&W INC. T/A KOMFORT & KARE
Entity Type:Organization
Organization Name:JJL&W INC. T/A KOMFORT & KARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
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 1:107 MOUNT NEBO POINTE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-1301
Mailing Address - Country:US
Mailing Address - Phone:412-748-0252
Mailing Address - Fax:412-748-0259
Practice Address - Street 1:107 MOUNT NEBO POINTE RD STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-1301
Practice Address - Country:US
Practice Address - Phone:412-748-0252
Practice Address - Fax:412-748-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies