MEDICARE: AXIOM LINK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	252Y00000X	Early Intervention Provider Agency
3	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235468596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIOM LINK, INC.

Provider Business Mailing Address
First Line	:	9620 S PENNSYLVANIA AVE
Second Line	:	UNIT C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6904
Country	:	US
Telephone Number	:	405-735-6366
Fax Number	:	405-735-6368

Provider Business Practice Location Address
First Line	:	9620 S PENNSYLVANIA AVE
Second Line	:	UNIT C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6904
Country	:	US
Telephone Number	:	405-735-6366
Fax Number	:	405-735-6368

Authorized Official
Title or Position	:	CEO
Name	:	JULIA SUE PADRON
Credential	:
Telephone Number	:	212-684-0099

Provider Enumeration Date	:	12/16/2009
Last Update Date	:	12/16/2009

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Directions to “AXIOM LINK, INC. ” Practice Location

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