Organization
HQM OF SUTTON PLACE, LLC
Active
Parent organization
HOME QUALITY MANAGEMENT INC
Other names
Sutton Place Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME QUALITY MANAGEMENT INC
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
4405 LAKEWOOD RD, LAKE WORTH, FL 33461-3414
(561) 969-1400
Mailing address
4405 LAKEWOOD RD, LAKE WORTH, FL 33461-3414
(561) 969-1400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1544096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025711700
—
FL
Enumeration date
01/12/2006
Last updated
02/24/2009
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