Provider Demographics
NPI:1942497326
Name:ULLOGROUP, LLC
Entity Type:Organization
Organization Name:ULLOGROUP, LLC
Other - Org Name:RESPONSELINK, MID-CAROLINA REGION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-875-8473
Mailing Address - Street 1:11330 VANSTORY DR
Mailing Address - Street 2:SUITE 109-L
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8143
Mailing Address - Country:US
Mailing Address - Phone:704-875-8473
Mailing Address - Fax:704-875-8511
Practice Address - Street 1:8618 DOE PATH LN
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8133
Practice Address - Country:US
Practice Address - Phone:704-875-8473
Practice Address - Fax:704-875-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408215Medicaid