Organization
HQM OF PRESTONSBURG, LLC
Active
Other names
Prestonsburg Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WALCZAK (CEO)
(561) 627-0664
Entity
Organization
Contact information
Practice address
147 N HIGHLAND AVE, PRESTONSBURG, KY 41653-7748
(606) 886-2378
Mailing address
147 N HIGHLAND AVE, PRESTONSBURG, KY 41653-7748
(606) 886-2378
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504585
—
KY
Enumeration date
01/12/2006
Last updated
08/22/2020
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