Organization
HQM OF MEADOWS EAST, LLC
Active
Other names
Meadows East Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(256) 162-7066
Entity
Organization
Contact information
Practice address
2529 SIX MILE LN, LOUISVILLE, KY 40220-2934
(502) 491-5560
Mailing address
2529 SIX MILE LN, LOUISVILLE, KY 40220-2934
(502) 491-5560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504254
—
KY
Enumeration date
01/19/2006
Last updated
08/22/2020
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