Organization
ULTIMATE CARE MEDICAL SERVICES LLC
Active
Organization
ULTIMATE CARE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIVINUS C. UBA ICADC, LCDCIII, CADC (COUNSELING SUPERVISOR)
(606) 393-4632
Entity
Organization
Contact information
Practice address
3655 WINCHESTER AVE, ASHLAND, KY 41101-2065
(606) 393-4632
(888) 411-4131
Mailing address
3655 WINCHESTER AVE, ASHLAND, KY 41101-2065
(606) 393-4632
(888) 411-4131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1179
KY
261QM2800X
Methadone Clinic
121019
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
710053
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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