Provider Demographics
NPI:1598326209
Name:LINKS OF LOVE YOUTH SERVICES, LLC
Entity Type:Organization
Organization Name:LINKS OF LOVE YOUTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-283-4445
Mailing Address - Street 1:PO BOX 2795
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29721-2795
Mailing Address - Country:US
Mailing Address - Phone:803-283-4445
Mailing Address - Fax:803-339-4094
Practice Address - Street 1:406 E ARCH ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2538
Practice Address - Country:US
Practice Address - Phone:803-283-4445
Practice Address - Fax:803-339-4094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management