Organization
HQM OF CLINTON COUNTY, INC
Active
Other names
Clinton County 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
404 N WASHINGTON ST, CLINTON COUNTY, ALBANY, KY 42602-1312
(606) 387-6623
Mailing address
404 N WASHINGTON ST, CLINTON COUNTY, ALBANY, KY 42602-1312
(606) 387-6623
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504064
—
KY
Enumeration date
01/12/2006
Last updated
02/24/2009
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