Diamond Community Living, Llc

LBN: Diamond Community Living, Llc
Diamond Community Living, Llc is an health care organization with primary practice located at 116 Remington Place Dr , Dallas GA 30157-5431. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Diamond Community Living, Llc can be contacted via phone (770) 505-3467, or through Sanyaolu, Sigismund via phone (404) 510-5208.

Contact Information

Primary practice address
116 Remington Place Dr Dallas GA 30157-5431
Phone: (770) 505-3467
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sanyaolu, Sigismund CPA
Phone: (404) 510-5208

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 11001016-2 Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 11001020-2 Georgia

Profile Details

NPI number 1407150535
LBN Legal business name Diamond Community Living, Llc
DBA Doing business as
Authorized official Sanyaolu, Sigismund CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407150535 NPPES
Georgia MEDICAID 673223392C
Georgia MEDICAID 673223392B

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