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NPI Code Detail

MEDICARE: KINDRED HOSPITAL PALM BEACH LLC

MEDICARE: KINDRED HOSPITAL PALM BEACH LLC
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
1282E00000XLong Term Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295905255
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HOSPITAL PALM BEACH LLC
Provider Business Mailing Address
First Line : 5555 W BLUE HERON BLVD
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33418-7813
Country : US
Telephone Number : 561-840-0754
Fax Number : 561-842-0271
Provider Business Practice Location Address
First Line : 5555 W BLUE HERON BLVD
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33418-7813
Country : US
Telephone Number : 502-596-7300
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, CORPORATE SECRETARY
Name : KATHY TEAGUE
Credential :
Telephone Number : 629-253-5121
Provider Enumeration Date : 03/06/2008
Last Update Date : 03/11/2024

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Directions to “KINDRED HOSPITAL PALM BEACH LLC ” Practice Location

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