Provider Demographics
NPI:1427806165
Name:J.C & CO UNDERTAKING L.L.C.
Entity type:Organization
Organization Name:J.C & CO UNDERTAKING L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILNERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-848-0198
Mailing Address - Street 1:1216 BASSANO WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6682
Mailing Address - Country:US
Mailing Address - Phone:407-848-0198
Mailing Address - Fax:
Practice Address - Street 1:1216 BASSANO WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6682
Practice Address - Country:US
Practice Address - Phone:407-848-0198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance