Healthcare Provider Details

I. General information

NPI: 1851981252
Provider Name (Legal Business Name): MERCYLINK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 MARGIE DR STE A
WARNER ROBINS GA
31088-8908
US

IV. Provider business mailing address

335 MARGIE DR STE A
WARNER ROBINS GA
31088-8908
US

V. Phone/Fax

Practice location:
  • Phone: 478-971-1606
  • Fax: 477-971-1609
Mailing address:
  • Phone: 478-971-1606
  • Fax: 477-971-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. DAVID MILBY
Title or Position: OWNER
Credential:
Phone: 478-971-1606