ULTIMATE LIVING SERVICE INC NPI 1851626733

NPI Information

NPI: 1851626733
Provider Name: ULTIMATE LIVING SERVICE, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1516 CROOKED TREE CIR
STONE MOUNTAIN, GA
ZIP 30088
Phone: (404) 401-1094
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ULTIMATE LIVING SERVICE, INC is a residential treatment facility, intellectual and/or developmental disabilities in Stone Mountain, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ULTIMATE LIVING SERVICE, INC NPI is 1851626733. The provider is registered as an organization entity type.

The provider's business location address is:

1516 CROOKED TREE CIR
STONE MOUNTAIN, GA
ZIP 30088-723
Phone: (404) 401-1094

The provider's authorized official is Gerald David Tillman .
The authorized official title is Director and has the following contact phone number (404) 401-1094.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		044017288	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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