Provider Demographics
NPI:1295022309
Name:BLS STAFFING, LLC
Entity Type:Organization
Organization Name:BLS STAFFING, LLC
Other - Org Name:ON-SITE WELLNESS 1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SORACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-808-6741
Mailing Address - Street 1:3730 DREW RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5063
Mailing Address - Country:US
Mailing Address - Phone:478-808-6741
Mailing Address - Fax:678-455-7898
Practice Address - Street 1:3730 DREW RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-5063
Practice Address - Country:US
Practice Address - Phone:478-808-6741
Practice Address - Fax:678-455-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-10
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal