| NPI | 1790151488 |
|---|---|
| Doing Business As | HAWTHORNE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HEADLEY Owner 336-655-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |