Organization
ULTIMATE LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD TILLMAN ED.D (OWNER/DRIECTOR)
(404) 401-1094
Entity
Organization
Contact information
Practice address
1516 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3723
(404) 401-1094
Mailing address
1516 CROOKED TREE CIR, STONE MOUNTAIN, GA 30088-3723
(404) 401-1094
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
044017282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911608135A
—
GA
Enumeration date
07/30/2009
Last updated
07/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us