Organization
HAWTHORNE INN AT WINDMILL POINTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH E FRINK (MANAGER)
(319) 337-6320
Entity
Organization
Contact information
Practice address
1500 1ST AVENUE NORTH, CORALVILLE, IA 52241
(319) 337-6320
(319) 337-3099
Mailing address
1500 1ST AVENUE NORTH, CORALVILLE, IA 52241
(319) 337-6320
(319) 337-3099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0111
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493700
—
IA
Enumeration date
05/03/2007
Last updated
06/13/2008
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