NPI | 1225214000 |
---|---|
Doing Business As | HAWTHORN HOUSE |
Entity Type | Organization |
Authorized Contact | BARBARA JEAN DAVENPORT Administrator 252-209-6986 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2008-01-11 |
Last Update Date | 2023-11-20 |