Provider Demographics
NPI:1518539279
Name:LINK, RICK
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:LINK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53205 POPLAR DRIVE
Mailing Address - Street 2:STOBBS ESTATES
Mailing Address - City:BRIDGEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43912
Mailing Address - Country:US
Mailing Address - Phone:740-695-1996
Mailing Address - Fax:
Practice Address - Street 1:53205 POPLAR DRIVE
Practice Address - Street 2:STOBBS ESTATES
Practice Address - City:BRIDGEPORT
Practice Address - State:OH
Practice Address - Zip Code:43912
Practice Address - Country:US
Practice Address - Phone:740-695-1996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care