# ULTRA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ULTRA HEALTH LLC
- **Other names:** Town Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285153072
- **Legal business name:** ULTRA HEALTH LLC
- **Authorized official:** JEFFERY H TAYLOR (MEMBER)
- **Authorized official phone:** (276) 971-0783

## Contact information

- **Practice address:** 1107 RIVERVIEW ST, GRUNDY, VA 24614-9481
- **Practice address phone:** (267) 385-1186
- **Mailing address:** PO BOX 289, CEDAR BLUFF, VA 24609-0289
- **Mailing address phone:** (276) 970-1979
- **Mailing address fax:** (276) 258-6492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 03/01/2019