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Mr. Tyler Rose
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodstock, Georgia
NPI 1730715814

Tyler Rose is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Woodstock, GA. Tyler Rose practices in Woodstock, GA. The NPI Number for Tyler Rose is 1730715814 and holds a License No. (Georgia).

The current practice location address for Tyler Rose is 116 South Mill Creek Court, Woodstock, GA and can be reached out via phone at 678-349-4071. You can also correspond with Tyler Rose through the mailing address at 116 SOUTH MILL CREEK COURT, WOODSTOCK, GA - 30188 (mailing address contact number: 678-349-4071).

Location: 116 South Mill Creek Court, Woodstock, GA, 30188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730715814
Provider Name
Tyler Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
116 South Mill Creek Court, Woodstock, GA, 30188
Phone Number
678-349-4071
Fax Number
Provider Enumeration Date
03/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
116 South Mill Creek Court
City
Woodstock
State
Georgia
Zip
30188
Phone Number
678-349-4071
Fax Number
person
Provider Business Mailing Address Details
Address
116 South Mill Creek Court
City
Woodstock
State
Georgia
Zip
30188
Phone Number
678-349-4071
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Georgia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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