Provider Demographics
NPI:1326714072
Name:ULTIMATE LIVING SERVICES INC.
Entity Type:Organization
Organization Name:ULTIMATE LIVING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:OGHOGHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-259-1810
Mailing Address - Street 1:146 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:PA
Mailing Address - Zip Code:19021-5441
Mailing Address - Country:US
Mailing Address - Phone:267-259-1810
Mailing Address - Fax:
Practice Address - Street 1:3523 45TH ST S # 134
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8962
Practice Address - Country:US
Practice Address - Phone:267-259-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care