Provider Demographics
NPI:1720865470
Name:WINNJAM2 DBA COMFORT KEEPERS OF CHERRY HILL
Entity type:Organization
Organization Name:WINNJAM2 DBA COMFORT KEEPERS OF CHERRY HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-530-3636
Mailing Address - Street 1:523 HOLLYWOOD AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2860
Mailing Address - Country:US
Mailing Address - Phone:732-530-3636
Mailing Address - Fax:
Practice Address - Street 1:523 HOLLYWOOD AVE STE 207
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2860
Practice Address - Country:US
Practice Address - Phone:732-530-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health