Organization
ON-THE-CASE
Active
Other names
Gypsy Rose,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAMELA A. SANDERS (PRODUCTION OFFICER)
(706) 306-5438
Entity
Organization
Contact information
Practice address
4115 COLUMBIA RD, SUITE 5-324, MARTINEZ, GA 30907-0405
(706) 793-0646
(706) 793-0646
Mailing address
4115 COLUMBIA RD, SUITE 5-324, MARTINEZ, GA 30907-0405
(706) 793-0646
(706) 793-0646
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
R101799
SC
310500000X
Mental Illness Intermediate Care Facility
RN070514
GA
313M00000X
Nursing Facility/Intermediate Care Facility
R101799
SC
313M00000X
Nursing Facility/Intermediate Care Facility
RN070514
GA
314000000X
Skilled Nursing Facility
R101799
SC
314000000X
Skilled Nursing Facility
RN070514
GA
315P00000X
Intellectual Disabilities Intermediate Care Facility
R101799
SC
315P00000X
Intellectual Disabilities Intermediate Care Facility
RN070514
GA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
R101799
SC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
RN070514
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
R101799
SC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
RN070514
GA
323P00000X
Psychiatric Residential Treatment Facility
Primary
R101799
SC
323P00000X
Psychiatric Residential Treatment Facility
RN070514
GA
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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