Provider Demographics
NPI:1871249565
Name:COMMUNITY HEALTHLINK LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTHLINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-575-2378
Mailing Address - Street 1:13307 104TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-5622
Mailing Address - Country:US
Mailing Address - Phone:314-575-2378
Mailing Address - Fax:253-617-1526
Practice Address - Street 1:13307 104TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-5622
Practice Address - Country:US
Practice Address - Phone:314-575-2378
Practice Address - Fax:253-617-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care