OrganizationActive
Dade Community Living Arrangement (cla)
NPI 1780953018 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oxford, GA
Provider details
- NPI number
- 1780953018
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dian Walters-Mott, Owner/Director(678) 768-5997
- License
- 10701-081-1 (GA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
1289 Macedonia Church Rd.
Oxford, GA 30054-3651
Phone: (678) 660-3339
Fax: (770) 679-5670
Approximate (ZIP-level) locationGet directions
Mailing address
1289 Macedonia Church Rd.
Oxford, GA 30054-3651
Other names (DBA / former)
- Former legal business name
- Dade Personal Care Home (pch)
Registry dates
- Enumerated
- 2011-12-15
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.