Healthcare Provider Details

I. General information

NPI: 1700703055
Provider Name (Legal Business Name): VITALITY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MORRIS AVE STE 3
SPRINGFIELD NJ
07081-1025
US

IV. Provider business mailing address

535 MORRIS AVE STE 3
SPRINGFIELD NJ
07081-1025
US

V. Phone/Fax

Practice location:
  • Phone: 908-376-9384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LYNN WAHAD
Title or Position: OWNER
Credential: PT, DPT
Phone: 908-432-1752