# ULTIMATE LIVING SERVICE, INC

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

## Provider details

- **NPI number:** 1851626733
- **Authorized official:** DR. GERALD DAVID TILLMAN ED.D (DIRECTOR)
- **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 | 044017288 | GA | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009