Organization
HQM OF OWENSBORO, LLC
Active
Other names
Hermitage 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
1614 W PARRISH AVE, OWENSBORO, KY 42301-3535
(270) 684-4559
Mailing address
1614 W PARRISH AVE, OWENSBORO, KY 42301-3535
(270) 684-4559
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100086
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504536
—
KY
Enumeration date
06/25/2006
Last updated
08/22/2020
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