Provider Demographics
NPI:1013700996
Name:WHISPERING WILLOW
Entity type:Organization
Organization Name:WHISPERING WILLOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-960-2483
Mailing Address - Street 1:50 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-8140
Mailing Address - Country:US
Mailing Address - Phone:706-960-2483
Mailing Address - Fax:706-960-2499
Practice Address - Street 1:50 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-8140
Practice Address - Country:US
Practice Address - Phone:706-960-2483
Practice Address - Fax:706-960-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility