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Organization
HQM OF MONTEAGLE, LLC
Active
Organization
HQM OF MONTEAGLE, LLC
Active
Other names
The Bridge at Monteagle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
26 SECOND STREET, MONTEAGLE, TN 37356
(931) 924-2041
Mailing address
26 SECOND STREET, MONTEAGLE, TN 37356
(931) 924-2041
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0099
TN
314000000X
Skilled Nursing Facility
Primary
0099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445393
—
TN
05
—
7440422
—
TN
Enumeration date
05/20/2006
Last updated
09/11/2025
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