Hqm of Pine Ridge, LLC
NPI #1992784490 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1992784490
- Entity Type
- Organization
- Organization Name
- Hqm of Pine Ridge, LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 12, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1200 SPRUCE LN
- Address 2
- CARTER COUNTY
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-4301
- Phone
- (423) 543-3202
Authorized Official
- Name
- MR. PAUL WALCZAK
- Title
- CEO
- Phone
- (561) 627-0664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Nursing Facility/Intermediate Care Facility |
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