Southwestern State Hospital

NPI #1497992457 in Thomasville, Georgia

Provider Information

NPI Number: 1497992457
Entity Type: Organization
Organization Name: Southwestern State Hospital
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 13, 2009
Last Updated: Aug 18, 2009

Practice Location

Address: 309A SHORELINE DR
Address 2: COMMUNITY MEDICAID COMP WAIVER HOME
City: Thomasville
State: Georgia
ZIP Code: 31757-2577
Phone: (229) 227-2977

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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Department of Behavioral Health & Developmental Disabilities	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomasville	AI Deep Dive
Southwestern State Hospital	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomasville	AI Deep Dive
The Homeplace Shelter Inc. Part of The Homeplace Shelter Inc.	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomasville	AI Deep Dive
Southwestern State Hospital	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomasville	AI Deep Dive
Southwestern State Hospital	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Thomasville	AI Deep Dive

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