OrganizationActive
Southwestern State Hospital
NPI 1215920525 · Intellectual Disabilities Intermediate Care Facility · Thomasville, GA
Provider details
- NPI number
- 1215920525
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hilary Hoo-You, Regional Hospital Administrator(229) 227-3020
- License
- 2-136-832 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
400 S Pinetree Blvd
Thomasville, GA 31792-7128
Phone: (229) 227-3004
Fax: (227) 227-2663
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1378
Thomasville, GA 31799-1378
Other names (DBA / former)
- Doing business as
- Rose Haven Icf/Mr
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.