HAWTHORNE INN SUPPORTIVE LIVING FACILITY; NPI #1568669778

Contact Information

HAWTHORNE INN SUPPORTIVE LIVING FACILITY

136 N. SIXTH ST.
PRINCETON, IL 61356

Phone: 815-875-6600
Fax: 815-875-6005
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for HAWTHORNE INN SUPPORTIVE LIVING FACILITY

NPI # 1568669778

LBN Legal business name HAWTHORNE INN SUPPORTIVE LIVING FACILITY

Authorized official KIMBERLY WOOLLEY - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/29/2007

Last updated 07/21/2022 - About 4 years ago

Identifiers

License #

006

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HAWTHORNE INN SUPPORTIVE LIVING FACILITY

Contact Information

Specialty

Assisted Living Facility

NPI Profile & details for HAWTHORNE INN SUPPORTIVE LIVING FACILITY

Reviews for HAWTHORNE INN SUPPORTIVE LIVING FACILITY