Provider Demographics
NPI:1790189777
Name:COMMUNITY LINX
Entity Type:Organization
Organization Name:COMMUNITY LINX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:517-574-2987
Mailing Address - Street 1:8291 ROLLING HILL LN
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-9251
Mailing Address - Country:US
Mailing Address - Phone:517-574-2987
Mailing Address - Fax:517-622-8012
Practice Address - Street 1:8291 ROLLING HILL LN
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-9251
Practice Address - Country:US
Practice Address - Phone:517-574-2987
Practice Address - Fax:517-622-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child