Provider Demographics
NPI:1477434538
Name:STILL WATERS CASE MANAGEMENT OF SOUTHWEST GEORGIA
Entity type:Organization
Organization Name:STILL WATERS CASE MANAGEMENT OF SOUTHWEST GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHON
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-894-5589
Mailing Address - Street 1:429 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3009
Mailing Address - Country:US
Mailing Address - Phone:229-894-5589
Mailing Address - Fax:229-894-5589
Practice Address - Street 1:429 FOREST GLEN DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3009
Practice Address - Country:US
Practice Address - Phone:229-894-5589
Practice Address - Fax:229-894-5589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management