Organization
HQM OF JAMESTOWN, LLC
Active
Other names
Fentress County 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
208 DUNCAN ST N, JAMESTOWN, TN 38556
(931) 879-5859
Mailing address
208 DUNCAN ST N, JAMESTOWN, TN 38556
(931) 879-5859
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0080
TN
314000000X
Skilled Nursing Facility
0080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445362
—
TN
05
—
7440067
—
TN
Enumeration date
01/17/2006
Last updated
09/11/2025
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