Provider Demographics
NPI:1669186664
Name:MJANDCJ DEVELOPMENT AND CONSTRUCTION LLC
Entity type:Organization
Organization Name:MJANDCJ DEVELOPMENT AND CONSTRUCTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-312-3771
Mailing Address - Street 1:4185 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-1167
Mailing Address - Country:US
Mailing Address - Phone:740-312-3771
Mailing Address - Fax:
Practice Address - Street 1:4185 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906-1167
Practice Address - Country:US
Practice Address - Phone:740-312-3771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty