Organization
HQM OF ORANGE PARK, LLC
Active
Other names
HQM of Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
2029 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-6194
Mailing address
2029 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-6194
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13900961
FL
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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