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General NPI Number Information
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NPI Number | 1619831005
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Entity Type | Organization
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Legal Business Name | B&J HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 4693 THOMPSON MILL RD
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City | STONECREST
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State | GA
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Zip | 30038-2263
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Country | US
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Telephone | 404-645-8550
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Fax | 404-645-8550
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Provider Business Mailing Address
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Address Line | 4693 THOMPSON MILL RD
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City | STONECREST
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State | GA
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Zip | 30038-2263
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Country | US
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Telephone | 404-645-8550
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Fax | 404-645-8550
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Authorized Official
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Title or Position | MANAGER
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Name | FALY KESSO BANGOURA
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Credential |
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Telephone | 404-645-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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