Organization
HQM OF PORT CHARLOTTE, LLC
Active
Other names
HQM of Port Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206
(941) 625-3200
Mailing address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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