Provider Demographics
NPI:1053286765
Name:GO LIFELINK LLC
Entity type:Organization
Organization Name:GO LIFELINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MALAK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:AGENCY DIRECTOR
Authorized Official - Phone:919-873-7632
Mailing Address - Street 1:1752 DEACON FALLS WAY
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-3316
Mailing Address - Country:US
Mailing Address - Phone:919-873-7632
Mailing Address - Fax:
Practice Address - Street 1:1752 DEACON FALLS WAY
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-3316
Practice Address - Country:US
Practice Address - Phone:919-873-7632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care