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Organization
KINDRED DEVELOPMENT 17, LLC
Active
Organization
KINDRED DEVELOPMENT 17, LLC
Active
Other names
Kindred Hospital Melbourne (Acute Rehab Unit)
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(321) 733-5799
Mailing address
765 W NASA BLVD, MELBOURNE, FL 32901-1815
(321) 733-5725
(321) 733-5799
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4501
HOSPITAL LICENSE
FL
Enumeration date
12/14/2020
Last updated
03/11/2024
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