Organization
JENEC GLOBAL LOGISTIC & INSURANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDEWOR BEN OSEVWE RN (CEO)
(618) 447-3448
Entity
Organization
Contact information
Practice address
3208 JANUARY AVE APT 1, SAINT LOUIS, MO 63139-1715
(618) 447-3448
Mailing address
3208 JANUARY AVE APT 1, SAINT LOUIS, MO 63139-1715
(618) 447-3448
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
2012026743
MO
3140N1450X
Pediatric Skilled Nursing Facility
2012026743
MO
332B00000X
Durable Medical Equipment & Medical Supplies
2012026743
MO
3416L0300X
Land Ambulance
Primary
2012026743
MO
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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