NPI 1720071947

Department of Behavioral Health & Dev. Disabilities

Organisation Intellectual Disabilities Intermediate Care Facility Thomasville, GA

Practice location

Address: 400 S Pinetree Blvd, Thomasville, GA 31792-7128
Phone: (229) 227-3004
Fax: (229) 227-2663
Mailing address: PO Box 1378 Patient Billing Dept., Thomasville, GA 31799-1378

Authorised official

Name: Hilary J Hoo-You
Title: Regional Hospital Administrator
Phone: (229) 227-3021

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2-136-1643 (GA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Georgia →

Registry record

NPI: 1720071947
Entity type: Organization
NPI issued: 23 Aug 2005
Record last updated: 18 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.