Provider Demographics
NPI:1679892657
Name:ULLC,INC.
Entity Type:Organization
Organization Name:ULLC,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-766-5232
Mailing Address - Street 1:600 BUTLER FARM RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1513
Mailing Address - Country:US
Mailing Address - Phone:757-766-5232
Mailing Address - Fax:757-766-5201
Practice Address - Street 1:600 BUTLER FARM RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1513
Practice Address - Country:US
Practice Address - Phone:757-766-5232
Practice Address - Fax:757-766-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-30
Last Update Date:2010-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services