Organization
HQM OF BRADENTON
Active
Other names
HQM of Bradenton, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
2302 59TH ST W, BRADENTON, FL 34209-7018
(941) 792-8480
Mailing address
2302 59TH ST W, BRADENTON, FL 34209-7018
(941) 792-8480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1226095
FL
Other
Enumeration date
01/25/2006
Last updated
08/22/2020
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