Organization
HQM OF MONTEAGLE, LLC
Active
Other names
The Bridge at Monteagle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
26 SECOND STREET, MONTEAGLE, TN 37356
(931) 924-2041
Mailing address
26 SECOND STREET, MONTEAGLE, TN 37356
(931) 924-2041
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0099
TN
314000000X
Skilled Nursing Facility
Primary
0099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445393
—
TN
05
—
7440422
—
TN
Enumeration date
05/20/2006
Last updated
09/11/2025
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