Organization
HQM OF COLUMBIA, LLC
Active
Other names
Columbia 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
1410 TROTWOOD AVE, COLUMBIA, TN 38401-4901
(931) 388-6443
Mailing address
1410 TROTWOOD AVE, COLUMBIA, TN 38401-4901
(931) 388-6443
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0182
TN
314000000X
Skilled Nursing Facility
Primary
0182
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445465
—
TN
05
—
7440457
—
TN
Enumeration date
07/08/2006
Last updated
09/11/2025
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