| NPI | 1801387568 |
|---|---|
| Doing Business As | DBA HAWTHORN GLEN NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DIANE GUMBERT CFO 937-293-7703 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 5053) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |