institution
Southwestern State Hospital
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Thomasville, Georgia
NPI 1518049675

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 1518049675 and holds a License No. 136-01-076-1 (Georgia).

The current practice location address for Southwestern State Hospital is 130 Cove Landing Dr, Thomasville, GA and can be reached out via phone at 229-227-2977 and via fax at 229-227-2955.

Location: 130 Cove Landing Dr, Thomasville, GA, 31799-1378
institution
Provider Profile Details
NPI Number
1518049675
Provider Name
Southwestern State Hospital
Credential
Provider Entity Type
Organization
Address
130 Cove Landing Dr, Thomasville, GA, 31799-1378
Phone Number
229-227-2977
Fax Number
229-227-2955
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00877236A 05 GA
institution
Provider Business Practice Location Address Details
Address
130 Cove Landing Dr
City
State
Zip
31792-3883
Phone Number
229-227-2977
Fax Number
229-227-2955
person
Provider Business Mailing Address Details
Address
130 Cove Landing Dr
City
State
Zip
31792-3883
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.
136-01-076-1 (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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