Organization
HQM OF MEADOWS SOUTH, LLC
Active
Other names
Meadows South 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
1120 CRISTLAND RD, LOUISVILLE, KY 40214-4150
(502) 367-0104
Mailing address
2979 PGA BLVD, PALM BEACH GARDENS, FL 33410-2911
(561) 627-0664
(561) 627-2867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504247
—
KY
Enumeration date
01/19/2006
Last updated
08/22/2020
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