Mr. Tyler Rose
Mr. Tyler Rose is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodstock, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
116 S Mill Creek CtWoodstock, GA 30188
Phone: (678) 349-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (GA) |
|---|
Record details
| NPI number | 1730715814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2020 |
| Last updated in NPPES | March 20, 2020 |
| Certification date | March 20, 2020 |
| Mailing address | 116 South Mill Creek Court, Woodstock, GA 30188 |