Individual provider · Type 1 NPI
Tyler Rose
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Woodstock, GA
Practice location
116 South Mill Creek Court
Woodstock, GA 30188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.
About NPI 1730715814
Tyler Rose's National Provider Identifier is 1730715814, issued on Mar 20, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Woodstock, GA. The record was last updated on Mar 20, 2020.