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Organization
VITALOGY REHAB SERVICES INC.
Active
Organization
VITALOGY REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN ALLEN FOURMAN LNHA (ADMINISTRATOR)
(727) 541-4239
Entity
Organization
Contact information
Practice address
7550 60TH WAY N, PINELLAS PARK, FL 33781-3216
(727) 541-4239
(727) 546-9351
Mailing address
7550 60TH WAY N, PINELLAS PARK, FL 33781-3216
(727) 541-4239
(727) 546-9351
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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