MEDICARE: BJ&W INDUSTRIES LLC

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	253Z00000X	In Home Supportive Care Agency	801720631	TX

General Provider Information

NPI Number	:	1851630263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJ&W INDUSTRIES LLC

Provider Business Mailing Address
First Line	:	1033 S FORT HOOD ST
Second Line	:	SUITE 200-124
City	:	KILLEEN
State	:	TX
Zip	:	76541-7436
Country	:	US
Telephone Number	:	254-768-1506
Fax Number	:	254-765-1506

Provider Business Practice Location Address
First Line	:	1033 S FORT HOOD ST
Second Line	:	SUITE 200-124
City	:	KILLEEN
State	:	TX
Zip	:	76541-7436
Country	:	US
Telephone Number	:	254-768-1506
Fax Number	:	254-765-1506

Authorized Official
Title or Position	:	OWNER
Name	:	JOKIA WILLIAMS
Credential	:
Telephone Number	:	254-768-1506

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	04/09/2013

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Directions to “BJ&W INDUSTRIES LLC ” Practice Location

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