Organization
THE HAWTHORNE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIESHA CHARLTON (CREDENTIALING MANAGER)
(916) 470-8311
Entity
Organization
Contact information
Practice address
9190 DOUBLE DIAMOND PKWY STE 130, RENO, NV 89521-4842
(916) 470-8311
(775) 849-2321
Mailing address
1010 CAMERADO DR STE 102B, CAMERON PARK, CA 95682-7984
(916) 470-8311
(775) 849-2321
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
20101208611
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4986NSP-4
NURSING POOL
NV
Enumeration date
07/18/2012
Last updated
07/18/2012
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