Organization
HQM OF ORMOND BEACH, LLC
Active
Other names
Ormond in the Pines Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
103 CLYDE MORRIS BLVD, VOLUSIA COUNTY, ORMOND BEACH, FL 32174-5982
(386) 673-0450
Mailing address
103 CLYDE MORRIS BLVD, VOLUSIA COUNTY, ORMOND BEACH, FL 32174-5982
(386) 673-0450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1397096
FL
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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