Organization
HAWTHORNE SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN LUCINDA WHITLEY (ADMINITRATOR)
(919) 735-2158
Entity
Organization
Contact information
Practice address
1510 S SLOCUMB ST, GOLDSBORO, NC 27530-6955
(919) 735-2158
(919) 288-3644
Mailing address
1912 STEPHENS ST, GOLDSBORO, NC 27530-6756
(919) 735-2158
(919) 288-3644
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL096119
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL096148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408681
—
NC
05
—
7804703
—
NC
05
—
8301062B
—
NC
Enumeration date
01/14/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us