MEDICARE: ULTIMATE TURN@ROUND SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700117322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE TURN@ROUND SERVICES INC

Provider Business Mailing Address
First Line	:	2310 S MIAMI BLVD STE 140
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-4900
Country	:	US
Telephone Number	:	919-544-6767
Fax Number	:	919-544-7979

Provider Business Practice Location Address
First Line	:	2310 S MIAMI BLVD STE 140
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-4900
Country	:	US
Telephone Number	:	919-544-6767
Fax Number	:	919-544-7979

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. RACHEL MARTIN
Credential	:
Telephone Number	:	919-544-6767

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	01/21/2010

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