Provider Demographics
NPI:1760139190
Name:VITAL LINK, LLC
Entity Type:Organization
Organization Name:VITAL LINK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD ADVOCATE
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:JABLONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-877-0037
Mailing Address - Street 1:29455 N. CAVE CREEK RD.
Mailing Address - Street 2:STE 118 # 470
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:480-877-0037
Mailing Address - Fax:855-930-1406
Practice Address - Street 1:6020 E CALLE DE POMPAS
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2509
Practice Address - Country:US
Practice Address - Phone:480-877-0037
Practice Address - Fax:855-930-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-05
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty