MEDICARE: CARELINK NURSING SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1679857387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARELINK NURSING SERVICES, LLC

Provider Business Mailing Address
First Line	:	5577 AIRPORT HIGHWAY
Second Line	:	SUITE 100
City	:	TOLEDO
State	:	OH
Zip	:	43615
Country	:	US
Telephone Number	:	419-843-6049
Fax Number	:

Provider Business Practice Location Address
First Line	:	5577 AIRPORT HWY
Second Line	:	SUITE 100
City	:	TOLEDO
State	:	OH
Zip	:	43615-7364
Country	:	US
Telephone Number	:	419-843-6049
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MAUREEN KENNEY
Credential	:	R.N.
Telephone Number	:	419-843-6049

Provider Enumeration Date	:	09/30/2011
Last Update Date	:	09/30/2011

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