Organization · Type 2 NPI

Department of Behavioral Health & Dev. Disabilities

Intellectual Disabilities Intermediate Care Facility · Thomasville, GA

NPI number 1720071947 Active

Practice location

400 S Pinetree Blvd
Thomasville, GA 31792-7128

Call (229) 227-3004 Map

Fax (229) 227-2663

Mailing address

PO Box 1378, Patient Billing Dept.
Thomasville, GA 31799-1378

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X2-136-1643 (GA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

23 other providers at this address

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About NPI 1720071947

Department of Behavioral Health & Dev. Disabilities's National Provider Identifier is 1720071947, issued on Aug 23, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Thomasville, GA. The record was last updated on Aug 18, 2009.