Organization
VITALITY REHAB SERVICES LLC
Active
Other names
Vitality Rehab Services, Vitality Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE C WIDEBERG (OWNER)
(772) 913-1517
Entity
Organization
Contact information
Practice address
4745 FOUR LAKES CIR SW, VERO BEACH, FL 32968-4802
(772) 913-1517
Mailing address
1647 SW 22ND TER, OKEECHOBEE, FL 34974-5672
(863) 634-3023
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
02/13/2024
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