Provider Demographics
NPI:1598205916
Name:JENEC GLOBAL LOGISTIC & INSURANCE LLC
Entity Type:Organization
Organization Name:JENEC GLOBAL LOGISTIC & INSURANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDEWOR
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:OSEVWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:618-447-3448
Mailing Address - Street 1:3208 JANUARY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1715
Mailing Address - Country:US
Mailing Address - Phone:618-447-3448
Mailing Address - Fax:
Practice Address - Street 1:3208 JANUARY AVE APT 1
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1715
Practice Address - Country:US
Practice Address - Phone:618-447-3448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012026743310500000X, 3140N1450X, 332B00000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies