NPI 1174593305

Hqm of Orange Park, LLC

Organisation Skilled Nursing Facility Orange Park, FL

Practice location

Address: 2029 Professional Center Drive, Orange Park, FL 32073
Phone: (904) 272-6194

Authorised official

Name: Paul Walczak
Title: Ceo
Phone: (561) 627-0664

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 13900961 (FL)

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Registry record

NPI: 1174593305
Entity type: Organization
NPI issued: 23 Jan 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.