Provider Demographics
NPI:1669233508
Name:DIRECTLINK
Entity type:Organization
Organization Name:DIRECTLINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EKRAM
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ALYAFEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-295-1435
Mailing Address - Street 1:2977 LEXINGTON AVE S APT 306
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1476
Mailing Address - Country:US
Mailing Address - Phone:612-440-9690
Mailing Address - Fax:
Practice Address - Street 1:2977 LEXINGTON AVE S APT 306
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1476
Practice Address - Country:US
Practice Address - Phone:612-440-9690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health