Provider Demographics
NPI:1851630263
Name:BJ&W INDUSTRIES LLC
Entity Type:Organization
Organization Name:BJ&W INDUSTRIES LLC
Other - Org Name:ACTI-KARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-768-1506
Mailing Address - Street 1:1033 S FORT HOOD ST
Mailing Address - Street 2:SUITE 200-124
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-7436
Mailing Address - Country:US
Mailing Address - Phone:254-768-1506
Mailing Address - Fax:254-765-1506
Practice Address - Street 1:1033 S FORT HOOD ST
Practice Address - Street 2:SUITE 200-124
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-7436
Practice Address - Country:US
Practice Address - Phone:254-768-1506
Practice Address - Fax:254-765-1506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801720631253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care