Provider Demographics
NPI:1851981252
Name:MERCYLINK, LLC
Entity Type:Organization
Organization Name:MERCYLINK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MILBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-971-1606
Mailing Address - Street 1:335 MARGIE DR STE A
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8908
Mailing Address - Country:US
Mailing Address - Phone:478-971-1606
Mailing Address - Fax:477-971-1609
Practice Address - Street 1:335 MARGIE DR STE A
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8908
Practice Address - Country:US
Practice Address - Phone:478-971-1606
Practice Address - Fax:477-971-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA076-R-0490OtherPRIVATE HOMECARE PROVIDER PERMIT