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Organization
KINDRED DEVELOPMENT 17, LLC
Active
Organization
KINDRED DEVELOPMENT 17, LLC
Active
Other names
Kindred Hospital Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AUTHORIZED OFFICIAL)
(502) 596-6063
Entity
Organization
Contact information
Practice address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(321) 733-5725
Mailing address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(321) 733-5799
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4501
FL
Other
Enumeration date
06/23/2009
Last updated
10/29/2025
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