Organization
COMMUNITY LIFE-LINK, LLC
Active
Other names
COMMUNITY LIFE-LINK,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD GERALD (OWNER)
(843) 464-4307
Entity
Organization
Contact information
Practice address
4504 E HIGHWAY 76, MULLINS, SC 29574-7261
(843) 464-4307
(866) 375-0088
Mailing address
4504 E HIGHWAY 76, MULLINS, SC 29574-7261
(843) 464-4307
(866) 375-0088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1248
—
SC
05
—
DE3184
—
SC
05
—
EN2031
—
SC
Enumeration date
05/29/2007
Last updated
01/26/2010
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