Organization
HKJ INC
Active
Other names
Hawthorne House
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KAY JENNINGS (OWNER)
(406) 543-1929
Entity
Organization
Contact information
Practice address
2120 S RESERVE ST PMB 117, MISSOULA, MT 59801-6451
(406) 543-1929
Mailing address
1120 CEDAR ST, MISSOULA, MT 59802-3911
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10404
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0840112
—
MT
Enumeration date
02/01/2007
Last updated
03/28/2019
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