MEDICARE: IJ-JENEIL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154320711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IJ-JENEIL INC

Provider Business Mailing Address
First Line	:	4630 RICHMOND RD
Second Line	:	SUITE 265
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5965
Country	:	US
Telephone Number	:	216-831-2048
Fax Number	:	216-831-1028

Provider Business Practice Location Address
First Line	:	4630 RICHMOND RD
Second Line	:	SUITE 265
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5965
Country	:	US
Telephone Number	:	216-831-2048
Fax Number	:	216-831-1028

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	EILEEN JONES
Credential	:
Telephone Number	:	216-831-2048

Provider Enumeration Date	:	07/17/2005
Last Update Date	:	08/15/2012

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Directions to “IJ-JENEIL INC ” Practice Location

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