Provider Demographics
NPI:1427386184
Name:JJL UNLIMITED CARE INC
Entity Type:Organization
Organization Name:JJL UNLIMITED CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:JIMENEZ
Authorized Official - Last Name:LAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-470-8021
Mailing Address - Street 1:3171 GREEN VALLEY RD
Mailing Address - Street 2:SUITE 635
Mailing Address - City:CAHABA HTS
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5239
Mailing Address - Country:US
Mailing Address - Phone:205-470-8021
Mailing Address - Fax:
Practice Address - Street 1:3171 GREEN VALLEY RD
Practice Address - Street 2:SUITE 635
Practice Address - City:CAHABA HTS
Practice Address - State:AL
Practice Address - Zip Code:35243-5239
Practice Address - Country:US
Practice Address - Phone:205-470-8021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty