Surrey Place Care Center

LBN: Hqm Of Surrey Place, Llc
Surrey Place Care Center is an health care organization with primary practice located at 110 Lee Ave Se , Live Oak FL 32064-9504. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hqm Of Surrey Place, Llc can be contacted via phone (386) 364-5961, or through Walczak, Paul via phone (561) 627-0664.

Contact Information

Primary practice address
110 Lee Ave Se Live Oak FL 32064-9504
Phone: (386) 364-5961
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walczak, Paul
Phone: (561) 627-0664

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1540096 Florida

Profile Details

NPI number 1366421836
LBN Legal business name Hqm Of Surrey Place, Llc
DBA Doing business as Surrey Place Care Center
Authorized official Walczak, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 24th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366421836 NPPES
Florida MEDICAID 025710900

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