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Organization
VNA SPACE COAST, INC.
Active
Organization
VNA SPACE COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARY KEVILLE (VP OF CLINICAL OPERATIONS)
(772) 538-2504
Entity
Organization
Contact information
Practice address
391 COMMERCE PKWY STE 240-260, ROCKLEDGE, FL 32955-4209
(772) 567-5551
(772) 569-1444
Mailing address
958 20TH PL FL 2, VERO BEACH, FL 32960-6420
(772) 567-5551
(772) 569-1444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299991471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107632
MEDICARE PTAN
FL
Enumeration date
06/30/2005
Last updated
01/16/2026
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