Organization
HAWTHORNE INN SUPPORTIVE LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN WOOLLEY (MANAGER)
(815) 875-6600
Entity
Organization
Contact information
Practice address
136 N. SIXTH ST., PRINCETON, IL 61356
(815) 875-6600
(815) 875-6005
Mailing address
136 N. SIXTH ST., PRINCETON, IL 61356
(815) 875-6600
(815) 875-6005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
006
IL
Other
Enumeration date
06/29/2007
Last updated
07/21/2022
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