SOUTHWESTERN STATE HOSPITAL
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Organization
NPI: 1881776946
Practice Address
130 COVE LANDING DRCOMMUNITY MEDICAID WAIVER HOME MRWP
Thomasville, GA 31792
Phone: (229) 227-2977
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | 136-01-076-1 (GA) |
Frequently Asked Questions
NPI 1881776946 is the National Provider Identifier for SOUTHWESTERN STATE HOSPITAL, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Thomasville, GA. This NPI was enumerated on October 19, 2006.
Quick Facts
- NPI
- 1881776946
- Type
- Organization
- Enumerated
- Oct 19, 2006
- Last Updated
- Aug 18, 2009
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