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NPI Code Detail

MEDICARE: KINDRED HEALTHCARE

MEDICARE: KINDRED HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1205096781
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HEALTHCARE
Provider Business Mailing Address
First Line : 200 HAMPTON WOODS COMPLEX
Second Line :
City : JACKSON
State : NC
Zip : 27845-9503
Country : US
Telephone Number : 252-534-4521
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAMPTON WOODS COMPLEX
Second Line :
City : JACKSON
State : NC
Zip : 27845-9503
Country : US
Telephone Number : 252-534-4521
Fax Number :
Authorized Official
Title or Position : REHAB MANAGER
Name : WILLIAM WHITEHURST
Credential :
Telephone Number : 252-534-4521
Provider Enumeration Date : 06/10/2008
Last Update Date : 06/10/2008

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Directions to “KINDRED HEALTHCARE ” Practice Location

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