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Organization
HQM OF RIVERVIEW, LLC
Active
Organization
HQM OF RIVERVIEW, LLC
Active
Other names
Riverview Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
79 SPARROW LN, PRESTONSBURG, KY 41653-1336
(606) 886-9178
Mailing address
79 SPARROW LN, PRESTONSBURG, KY 41653-1336
(606) 886-9178
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100504
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504601
—
KY
Enumeration date
01/12/2006
Last updated
08/22/2020
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