Organization
HQM OF PORT ST. JOE, LLC
Active
Other names
Bay St. Joseph Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
220 9TH ST, PORT ST. JOE, FL 32456
(850) 229-8244
Mailing address
220 9TH ST, PORT ST. JOE, FL 32456
(850) 229-8244
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1038096
TN
Other
Enumeration date
01/17/2006
Last updated
08/22/2020
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