Organization
HQM OF MONTGOMERY COUNTY, LLC
Active
Other names
Montgomery 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
198 OLD FARMERS ROAD, CLARKSVILLE, TN 37043
(931) 358-2900
Mailing address
198 OLD FARMERS RD, CLARKSVILLE, TN 37043-4032
(931) 358-2900
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0191
TN
314000000X
Skilled Nursing Facility
Primary
0191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445448
—
TN
05
—
7440143
—
TN
Enumeration date
06/30/2006
Last updated
09/11/2025
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