# HQM OF MEADOWS SOUTH, LLC

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

## Provider details

- **NPI number:** 1437139136
- **Authorized official:** MR. PAUL WALCZAK (CEO)
- **Authorized official phone:** (561) 627-0664

## Contact information

- **Practice address:** 1120 CRISTLAND RD, LOUISVILLE, KY 40214-4150
- **Practice address phone:** (502) 367-0104
- **Mailing address:** 2979 PGA BLVD, PALM BEACH GARDENS, FL 33410-2911
- **Mailing address phone:** (561) 627-0664
- **Mailing address fax:** (561) 627-2867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100452 | KY | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504247 | — | KY |