| Organization Name: | LINQ FOR LIFE INCORPORATED |
| NPI Number: | 1053703918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEE VAN BROWN (PRESIDENT) |
| Mailing Address: | 7617 Vestal Blvd # 3 North Little Rock |
| State: | AR US |
| Postal Code: | 721136725 |
| Phone Number: | 5014044799 |
| Fax Number: | 5014044784 |
| NPI Enumeration Date: | 03/02/2015 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |