NPI | 1174593305 |
---|---|
Doing Business As | HQM OF ORANGE PARK |
Entity Type | Organization |
Authorized Contact | PAUL WALCZAK CEO 561-627-0664 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 13900961) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-08-22 |