Healthcare Provider Details

I. General information

NPI: 1114916020
Provider Name (Legal Business Name): BJK ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E RANDOL MILL RD SUITE 160
ARLINGTON TX
76011-5819
US

IV. Provider business mailing address

306 E RANDOL MILL RD SUITE 160
ARLINGTON TX
76011-5819
US

V. Phone/Fax

Practice location:
  • Phone: 817-461-0154
  • Fax: 817-275-9792
Mailing address:
  • Phone: 817-461-0154
  • Fax: 817-275-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number007850
License Number StateTX

VIII. Authorized Official

Name: MRS. BALINDA JEAN ANTOINE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 817-461-0154