ULTIMATE LIVING SERVICES, INC
Residential Treatment Facilities at Crooked Tree Cir, Stone Mountain, GA

License number
Georgia 044017282
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: DR. GERALD TILLMAN ED.D
Title: OWNER/DRIECTOR
Phone: (404) 401-1094
Address
Address
1516 Crooked Tree Cir, Stone Mountain, GA 30088
National Provider ID: 1306077953
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ULTIMATE LIVING SERVICES, INC

1516 Crooked Tree Cir, Stone Mountain, GA 30088

Status:
Inactive
Industry:
Services-Misc
Registration:
Nov 27, 2006
Inactive since:
Sep 4, 2012
State ID:
06101780
Business type:
Domestic Profit Corporation
Director, Owner, Principals:
David Gerald Tillman (Secretary), 1516 Crooked Tree Cir, Stone Mountain, GA 30088 (Physical),Gerald Tillman Director, Owner, Principal, inactive
Agent:
Gerald David Tillman,1516 Crooked Tree Cir, Stone Mountain, GA 30088 (Physical)

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