Provider Demographics
NPI:1609524180
Name:WELLNESS LINK HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:WELLNESS LINK HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CICELY
Authorized Official - Middle Name:CHEDDAR
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-334-4848
Mailing Address - Street 1:152 NEW ST # 30B
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7304
Mailing Address - Country:US
Mailing Address - Phone:478-334-4848
Mailing Address - Fax:
Practice Address - Street 1:152 NEW ST # 30B
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7304
Practice Address - Country:US
Practice Address - Phone:478-334-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care