Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - North Florida
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
282E00000X
Long Term Care Hospital
Primary
4257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010267900
—
FL
01
—
Y01
BLUE CROSS
FL
Enumeration date
10/25/2006
Last updated
06/25/2025
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