Provider Demographics
NPI:1841946639
Name:A MOTHERS LINK
Entity type:Organization
Organization Name:A MOTHERS LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:TRULL
Authorized Official - Last Name:WANYOIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-688-5811
Mailing Address - Street 1:5628 KEELWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9242
Mailing Address - Country:US
Mailing Address - Phone:804-688-5811
Mailing Address - Fax:804-533-1335
Practice Address - Street 1:5628 KEELWOOD CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-9242
Practice Address - Country:US
Practice Address - Phone:804-688-5811
Practice Address - Fax:804-533-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty