Organization
WILLOW DAWN HEALTHCARE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILE CHAMBLISS (OWNER)
(601) 918-4407
Entity
Organization
Contact information
Practice address
39 PINEVIEW LANE, FAYETTE, MS 39069
(601) 918-4407
Mailing address
PO BOX 2089, FAYETTE, MS 39069-2089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/06/2026
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