Healthcare Provider Details

I. General information

NPI: 1053286765
Provider Name (Legal Business Name): GO LIFELINK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1752 DEACON FALLS WAY
WENDELL NC
27591-3316
US

IV. Provider business mailing address

1752 DEACON FALLS WAY
WENDELL NC
27591-3316
US

V. Phone/Fax

Practice location:
  • Phone: 919-873-7632
  • Fax:
Mailing address:
  • Phone: 919-873-7632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MALAK HARB
Title or Position: AGENCY DIRECTOR
Credential: AGENCY DIRECTOR
Phone: 919-873-7632