Southwestern State Hospital

NPI #1548407364 in Thomasville, Georgia

Provider Information

NPI Number
1548407364
Entity Type
Organization
Organization Name
Southwestern State Hospital
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 15, 2009
Last Updated
Aug 18, 2009

Practice Location

Address
419 N CRAWFORD ST
Address 2
COMMUNITY MEDICAID COMP WAIVER HOME
State
Georgia
ZIP Code
31792-5128
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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