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Organization
KINDRED HOSPITALS EAST, LLC
Active
Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - Bay Area - Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
4555 S MANHATTAN AVE, TAMPA, FL 33611-2305
(813) 839-6341
(813) 837-3255
Mailing address
4555 S MANHATTAN AVE, TAMPA, FL 33611-2305
(813) 839-6341
(813) 837-3255
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010234200
—
FL
01
—
Y31
BLUE CROSS
FL
Enumeration date
10/25/2006
Last updated
03/11/2024
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