OrganizationActive
Diamond Community Living, LLC
NPI 1407150535 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dallas, GA
Provider details
- NPI number
- 1407150535
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sigismund Sanyaolu, Chief Financial Officer(404) 510-5208
- License
- 11001020-2 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 11001016-2 (GA)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 11001020-2 (GA)
Residential Treatment Facilities
Practice location
116 Remington Place Dr
Dallas, GA 30157-5431
Phone: (770) 505-3467
Approximate (ZIP-level) locationGet directions
Mailing address
741 Riverwood Dr
Dallas, GA 30157-4190
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2011-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.