Southwestern State Hospital

NPI #1326285248 in Thomasville, Georgia

Provider Information

NPI Number
1326285248
Entity Type
Organization
Organization Name
Southwestern State Hospital
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 14, 2009
Last Updated
Aug 18, 2009

Practice Location

Address
845 CRABAPPLE DR
Address 2
COMMUNITY MEDICAID COMP HOMES
State
Georgia
ZIP Code
31757-1400
Phone
(229) 227-2977

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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