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Organization

BARBARA DAVENPORT

Active
Other names
Hawthorn House
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA JEAN DAVENPORT (ADMINISTRATOR)
(252) 209-6986
Entity
Organization

Contact information

Practice address
1025 HIGHWAY45 SOUTH, MERRY HILL, NC 27957
(252) 209-6986
Mailing address
1025 HWY. 45 S., MERRY HILL, NC 27957
(252) 209-6986

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
01/11/2008
Last updated
11/20/2023
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