Provider Demographics
NPI:1437798691
Name:BELLFLOWER STAFF AGENCY
Entity Type:Organization
Organization Name:BELLFLOWER STAFF AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOMODOU
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-507-9826
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-0214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:37885 CAPE HORN RD
Practice Address - Street 2:
Practice Address - City:CONCRETE
Practice Address - State:WA
Practice Address - Zip Code:98237-9233
Practice Address - Country:US
Practice Address - Phone:425-678-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOWE HEALTHCARE CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty