Organization
HAWTHORN MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA JACQUELINE BECKER (PRESIDENT)
(262) 338-3266
Entity
Organization
Contact information
Practice address
321 HAWTHORN DR, WEST BEND, WI 53095-4738
(262) 338-3266
Mailing address
321 HAWTHORN DR, WEST BEND, WI 53095-4738
(262) 338-3266
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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