National Provider Identifier Database

HAWTHORNE INN SUPPORTIVE LIVING FACILITY
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

HAWTHORNE INN SUPPORTIVE LIVING FACILITY
136 N. SIXTH ST.
PRINCETON, IL61356
Phone: 815-875-6600
Fax: 815-875-6005
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for HAWTHORNE INN SUPPORTIVE LIVING FACILITY

NPI Number 1568669778
Legal business name
LBN
HAWTHORNE INN SUPPORTIVE LIVING FACILITY
Authorized official KIMBERLY WOOLLEY - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/29/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 006

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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