Provider Demographics
NPI:1326525957
Name:VITAL NURSE STAFFING, LLC
Entity Type:Organization
Organization Name:VITAL NURSE STAFFING, LLC
Other - Org Name:VITAL NURSE STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:STADLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:989-284-0198
Mailing Address - Street 1:9720 JUNCTION RD STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-9526
Mailing Address - Country:US
Mailing Address - Phone:989-607-9329
Mailing Address - Fax:877-652-5053
Practice Address - Street 1:9720 JUNCTION RD STE A
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-9526
Practice Address - Country:US
Practice Address - Phone:989-607-9329
Practice Address - Fax:877-652-5053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty