Provider Demographics
NPI:1598653636
Name:ELITE LINK, LLC
Entity type:Organization
Organization Name:ELITE LINK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:MULHERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-342-6848
Mailing Address - Street 1:11506 ENCHANTED WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-8608
Mailing Address - Country:US
Mailing Address - Phone:703-342-6848
Mailing Address - Fax:
Practice Address - Street 1:11506 ENCHANTED WOODS WAY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8608
Practice Address - Country:US
Practice Address - Phone:571-315-4104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty