| NPI | 1992902951 |
|---|---|
| Doing Business As | GYPSY ROSE,INC. |
| Entity Type | Organization |
| Authorized Contact | PAMELA A. SANDERS Production Officer 706-306-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: SC R101799) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: GA RN070514) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SC R101799) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA RN070514) | |
| 314000000X Skilled Nursing Facility (Licence: SC R101799) | |
| 314000000X Skilled Nursing Facility (Licence: GA RN070514) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: SC R101799) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: GA RN070514) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SC R101799) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: GA RN070514) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SC R101799) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: GA RN070514) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: GA RN070514) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: SC R101799) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |