Provider Demographics
NPI:1487858528
Name:UNIVERSAL INVESTMENT SVC LLC
Entity Type:Organization
Organization Name:UNIVERSAL INVESTMENT SVC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANGELO
Authorized Official - Last Name:CROMWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:RT
Authorized Official - Phone:404-207-6387
Mailing Address - Street 1:2978 RAINBOW DR # 154
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1605
Mailing Address - Country:US
Mailing Address - Phone:404-207-6387
Mailing Address - Fax:
Practice Address - Street 1:246 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-2187
Practice Address - Country:US
Practice Address - Phone:404-207-6387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home