DEPARTMENT OF BEHAVIORAL HEALTH & DEV. DISABILITIES NPI 1720071947

NPI Information

NPI: 1720071947
Provider Name: DEPARTMENT OF BEHAVIORAL HEALTH & DEV. DISABILITIES

Doing Business As: SOUTHWEST DEVELOPMENTAL CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
400 S PINETREE BLVD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-3004
Get Directions

DEPARTMENT OF BEHAVIORAL HEALTH & DEV. DISABILITIES is an intermediate care facility mentally retarded in Thomasville, GA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEPARTMENT OF BEHAVIORAL HEALTH & DEV. DISABILITIES NPI is 1720071947. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Developmental Center.

The provider's business location address is:

400 S PINETREE BLVD
THOMASVILLE, GA
ZIP 31792-128
Phone: (229) 227-3004
Fax: (229) 227-2663

The provider's authorized official is Hilary J Hoo-you .
The authorized official title is Regional Hospital Administrator and has the following contact phone number (229) 227-3021.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		2-136-1643	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00190484A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »