Provider Demographics
NPI:1578824108
Name:ULTIMATE SUCCESS INC
Entity Type:Organization
Organization Name:ULTIMATE SUCCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUNTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-545-5612
Mailing Address - Street 1:4161 MINNEHAHA AVE
Mailing Address - Street 2:1
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-4339
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4161 MINNEHAHA AVE
Practice Address - Street 2:1
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-4339
Practice Address - Country:US
Practice Address - Phone:612-545-5612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty