institution
Southwestern State Hospital
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Thomasville, Georgia
NPI 1497992457

Southwestern State Hospital is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Thomasville, GA. Southwestern State Hospital practices in Thomasville, GA. The NPI Number for Southwestern State Hospital is 1497992457 and holds a License No. 320900000X (Georgia).

The current practice location address for Southwestern State Hospital is 309A Shoreline Dr, Thomasville, GA and can be reached out via phone at 229-227-2977 and via fax at 229-227-2955. You can also correspond with Southwestern State Hospital through the mailing address at PO BOX 1378, THOMASVILLE, GA - 31799-1378 (mailing address contact number: 229-227-2977).

Location: 309A Shoreline Dr, Thomasville, GA, 31799-1378
institution
Provider Profile Details
NPI Number
1497992457
Provider Name
Southwestern State Hospital
Credential
Provider Entity Type
Organization
Address
309A Shoreline Dr, Thomasville, GA, 31799-1378
Phone Number
229-227-2977
Fax Number
229-227-2955
Provider Enumeration Date
01/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
304774584I 05 GA
institution
Provider Business Practice Location Address Details
Address
309A Shoreline Dr
City
State
Zip
31757-2577
Phone Number
229-227-2977
Fax Number
229-227-2955
person
Provider Business Mailing Address Details
Address
309A Shoreline Dr
City
State
Zip
31757-2577
Phone Number
229-227-2977
Fax Number
229-227-2955
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
320900000X (Georgia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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