Provider Demographics
NPI:1922697333
Name:HAWTHORN HEIGHTS WNC
Entity Type:Organization
Organization Name:HAWTHORN HEIGHTS WNC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:828-342-2880
Mailing Address - Street 1:656 BLACK HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-7717
Mailing Address - Country:US
Mailing Address - Phone:828-488-6512
Mailing Address - Fax:
Practice Address - Street 1:656 BLACK HILL RD
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-7717
Practice Address - Country:US
Practice Address - Phone:828-488-6512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care