Ultimate Living Services, Inc
LBN: Ultimate Living Services, Inc
Ultimate Living Services, Inc is an health care organization with primary practice located at 1516 Crooked Tree Cir , Stone Mountain GA 30088-3723. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Ultimate Living Services, Inc can be contacted via phone (404) 401-1094, or through Tillman, Gerald via phone (404) 401-1094.
Contact Information
Primary practice address
1516 Crooked Tree Cir
Stone Mountain GA 30088-3723
Phone: (404) 401-1094
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 044017282 | Georgia |
Profile Details
| NPI number | 1306077953 |
|---|---|
| LBN Legal business name | Ultimate Living Services, Inc |
| DBA Doing business as | |
| Authorized official | Tillman, Gerald ED.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | Jul 30th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306077953 | NPPES |
| Georgia | MEDICAID | 911608135A |
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