Organization
HAWTHORNE BRANDON AL OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON KLEIN (MEMBER)
(347) 909-1811
Entity
Organization
Contact information
Practice address
859 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
859 W LUMSDEN RD, BRANDON, FL 33511-6280
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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