Provider Demographics
NPI:1740715184
Name:LINK UP LLC
Entity type:Organization
Organization Name:LINK UP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIWANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLBRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-568-5880
Mailing Address - Street 1:5045 WASHBURN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55430-3345
Mailing Address - Country:US
Mailing Address - Phone:612-568-5880
Mailing Address - Fax:763-445-2013
Practice Address - Street 1:5045 WASHBURN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55430-3345
Practice Address - Country:US
Practice Address - Phone:612-568-5880
Practice Address - Fax:763-445-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32375251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health