Organization · Type 2 NPI

Southwestern State Hospital

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Thomasville, GA

NPI number 1891788097 Active

Practice location

113 Cove Landing Dr, Community Medicaid Waiver Home
Thomasville, GA 31792-3884

Call (229) 227-2977 Map

Fax (229) 227-2955

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1891788097

Southwestern State Hospital's National Provider Identifier is 1891788097, issued on Aug 24, 2005. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Thomasville, GA. The record was last updated on Aug 22, 2020.