# VITALITY REHAB SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Rehab Services, Vitality Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518736297
- **Authorized official:** JEANETTE C WIDEBERG (OWNER)
- **Authorized official phone:** (772) 913-1517

## Contact information

- **Practice address:** 4745 FOUR LAKES CIR SW, VERO BEACH, FL 32968-4802
- **Practice address phone:** (772) 913-1517
- **Mailing address:** 1647 SW 22ND TER, OKEECHOBEE, FL 34974-5672
- **Mailing address phone:** (863) 634-3023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 02/13/2024