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Search › Georgia › Intellectual and/or Developmental Disabilities Residential Treatment Facility

Tyler Rose

NPI 1730715814 · on the registry since 2020 · sole proprietor

Practice

Address
116 South Mill Creek Court
Woodstock, GA 30188
Phone
(678) 349-4071

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia