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Contact Information

HQM OF ORANGE PARK, LLC
2029 PROFESSIONAL CENTER DRIVE
ORANGE PARK, FL32073
 Phone: 904-272-6194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HQM OF ORANGE PARK, LLC

NPI Number 1174593305
LBN Legal business name HQM OF ORANGE PARK, LLC
Authorized official PAUL WALCZAK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # 13900961
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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