Southwestern State Hospital

NPI #1891788097 in Thomasville, Georgia

Provider Information

NPI Number: 1891788097
Entity Type: Organization
Organization Name: Southwestern State Hospital
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 24, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 113 COVE LANDING DR
Address 2: COMMUNITY MEDICAID WAIVER HOME
City: Thomasville
State: Georgia
ZIP Code: 31792-3884
Phone: (229) 227-2977

Authorized Official

Name: MRS. BEVERLY B. BAJERSKI
Title: REGIONAL HOSPITAL ADMINISTRATOR
Phone: (229) 227-3021

Specialties & Taxonomy Codes

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

Similar Providers

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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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