Provider Demographics
NPI:1912869447
Name:B&J HEALTHCARE STAFFING AGENCY LLC
Entity type:Organization
Organization Name:B&J HEALTHCARE STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FALY
Authorized Official - Middle Name:KESSO
Authorized Official - Last Name:BANGOURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-645-8550
Mailing Address - Street 1:4693 THOMPSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:STONECREST
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2263
Mailing Address - Country:US
Mailing Address - Phone:404-645-8550
Mailing Address - Fax:404-645-8550
Practice Address - Street 1:4693 THOMPSON MILL RD
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-2263
Practice Address - Country:US
Practice Address - Phone:404-645-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility