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Southwestern State Hospital
Intellectual Disabilities Intermediate Care Facility in Thomasville, Georgia
NPI 1215920525

Southwestern State Hospital is a Intellectual Disabilities Intermediate Care Facility based in Thomasville, GA. Southwestern State Hospital practices in Thomasville, GA. The NPI Number for Southwestern State Hospital is 1215920525 and holds a License No. 2-136-832 (Georgia).

The current practice location address for Southwestern State Hospital is 400 S Pinetree Blvd, Thomasville, GA and can be reached out via phone at 229-227-3004 and via fax at 227-227-2663.

Location: 400 S Pinetree Blvd, Thomasville, GA, 31799-1378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215920525
Provider Name
Southwestern State Hospital
Credential
Provider Entity Type
Organization
Address
400 S Pinetree Blvd, Thomasville, GA, 31799-1378
Phone Number
229-227-3004
Fax Number
227-227-2663
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00142799A 05 GA
institution
Provider Business Practice Location Address Details
Address
400 S Pinetree Blvd
City
Thomasville
State
Georgia
Zip
31792-7128
Phone Number
229-227-3004
Fax Number
227-227-2663
person
Provider Business Mailing Address Details
Address
400 S Pinetree Blvd
City
Thomasville
State
Georgia
Zip
31792-7128
Phone Number
229-227-3004
Fax Number
227-227-2663
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2-136-832 (Georgia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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Similar Doctors in Thomasville, Georgia:

institution
Department Of Behavioral Health & Dev. Disabilities
NPI 1720071947
Intellectual Disabilities Intermediate Care Facility
400 S Pinetree Blvd,
THOMASVILLE, GA
31792-7128
229-227-3004
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