Organization
HQM OF BRACKEN COUNTY, INC
Active
Other names
Bracken County Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
5269 ASBURY RD, AUGUSTA, KY 41002-9215
(606) 756-2156
Mailing address
5269 ASBURY RD, AUGUSTA, KY 41002-9215
(606) 756-2156
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504023
—
KY
Enumeration date
01/12/2006
Last updated
08/22/2020
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