Provider Demographics
NPI:1750086021
Name:LIFELINK FOUNDATION INC
Entity type:Organization
Organization Name:LIFELINK FOUNDATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-804-4533
Mailing Address - Street 1:9661 DELANEY CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-5121
Mailing Address - Country:US
Mailing Address - Phone:138-253-2640
Mailing Address - Fax:
Practice Address - Street 1:2875 NORTHWOODS PKWY
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30071-1535
Practice Address - Country:US
Practice Address - Phone:770-225-5465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFELINK FOUNDATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization