Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - North Florida (Acute Rehab Unit)
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
801 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-9230
(904) 284-6612
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4257
HOSPITAL LICENSE
FL
Enumeration date
02/17/2020
Last updated
06/25/2025
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