Provider Demographics
NPI:1982862413
Name:VITAL LINK LLC
Entity Type:Organization
Organization Name:VITAL LINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SICKLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:989-327-2577
Mailing Address - Street 1:6869 N MICHIGAN RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9716
Mailing Address - Country:US
Mailing Address - Phone:989-327-2577
Mailing Address - Fax:
Practice Address - Street 1:6869 N MICHIGAN RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9716
Practice Address - Country:US
Practice Address - Phone:989-327-2577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health