Community Life-Link,Llc

LBN: Community Life-Link, Llc
Community Life-Link,Llc is an health care organization with primary practice located at 4504 E Highway 76 , Mullins SC 29574-7261. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Community Life-Link, Llc can be contacted via phone (843) 464-4307, or through Gerald, Bernard via phone (843) 464-4307.

Contact Information

Primary practice address
4504 E Highway 76 Mullins SC 29574-7261
Phone: (843) 464-4307
Fax: (866) 375-0088
Website:
Map and Directions
Authorized official contact:
Name: Gerald, Bernard
Phone: (843) 464-4307

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1881895829
LBN Legal business name Community Life-Link, Llc
DBA Doing business as Community Life-Link,Llc
Authorized official Gerald, Bernard
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Jan 26th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881895829 NPPES
South Carolina MEDICAID DE3184
South Carolina MEDICAID EN2031
South Carolina MEDICAID DE1248

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