Ultimate Care Supported Living LLC

NPI #1508467853 in Columbus, Ohio

Provider Information

NPI Number: 1508467853
Entity Type: Organization
Organization Name: Ultimate Care Supported Living LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Nov 3, 2020
Last Updated: Oct 14, 2023

Practice Location

Address: 5300 E MAIN ST STE 100
City: Columbus
State: Ohio
ZIP Code: 43213-2580
Phone: (614) 868-3821

Authorized Official

Name: MR. SAMUEL BRAIMA
Title: PRESIDENT
Phone: (614) 868-3821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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