NPI 1346444627

Hawthorn Manor INC

Organisation Assisted Living Facility West Bend, WI

Practice location

Address: 321 Hawthorn Dr, West Bend, WI 53095-4738
Phone: (262) 338-3266

Authorised official

Name: Anita Jacqueline Becker
Title: President
Phone: (262) 338-3266

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1346444627
Entity type: Organization
NPI issued: 12 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.