Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - Dayton
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
707 S. EDWIN C. MOSES BLVD, DAYTON, OH 45417-3462
(937) 331-9265
(937) 331-9275
Mailing address
707 S. EDWIN C. MOSES BLVD, DAYTON, OH 45417-3462
(937) 331-9265
(937) 331-9275
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282E00000X
Long Term Care Hospital
Primary
1458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362939
BLUE CROSS
OH
05
—
2563695
—
OH
Enumeration date
11/08/2006
Last updated
06/11/2025
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