# ULTIMATE LIVING SERVICES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306077953
- **Authorized official:** DR. GERALD TILLMAN ED.D (OWNER/DRIECTOR)
- **Authorized official phone:** (404) 401-1094

## Contact information

- **Practice address:** 1516 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3723
- **Practice address phone:** (404) 401-1094
- **Mailing address:** 1516 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3723
- **Mailing address phone:** (404) 401-1094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 044017282 | GA | Yes |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 07/30/2009