Organization · Type 2 NPI
Dade Community Living Arrangement (cla)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oxford, GA
Practice location
1289 Macedonia Church Rd.
Oxford, GA 30054-3651
Fax (770) 679-5670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Nursing Home Administrator | 376G00000X | 10701-081-1 (GA) |
| Nurse's Aide | 376K00000X | CN0028872680 (GA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Oxford
About NPI 1780953018
Dade Community Living Arrangement (cla)'s National Provider Identifier is 1780953018, issued on Dec 15, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Oxford, GA. The record was last updated on Dec 15, 2011.