Southwestern State Hospital

NPI #1215920525 in Thomasville, Georgia

Provider Information

NPI Number
1215920525
Entity Type
Organization
Organization Name
Southwestern State Hospital
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Aug 23, 2005
Last Updated
Aug 18, 2009

Practice Location

Address
400 S PINETREE BLVD
State
Georgia
ZIP Code
31792-7128
Phone
(229) 227-3004

Authorized Official

Name
MRS. HILARY J HOO-YOU
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(229) 227-3020

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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