# HQM OF MONTGOMERY COUNTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montgomery Care & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255360699
- **Authorized official:** MR. PAUL WALCZAK (CEO)
- **Authorized official phone:** (561) 627-0664

## Contact information

- **Practice address:** 198 OLD FARMERS ROAD, CLARKSVILLE, TN 37043
- **Practice address phone:** (931) 358-2900
- **Mailing address:** 198 OLD FARMERS RD, CLARKSVILLE, TN 37043-4032
- **Mailing address phone:** (931) 358-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0191 | TN | — |
| 314000000X | Skilled Nursing Facility | 0191 | TN | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445448 | — | TN |
| 05 | — | 7440143 | — | TN |