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Organization
ULTIMATE PROVIDER SERVICES INC
Active
Organization
ULTIMATE PROVIDER SERVICES INC
Active
Other names
AMENITE HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTINE OKORUWA BS (OWNER/CFO/ ALT ADMINISTRATOR)
(817) 557-4311
Entity
Organization
Contact information
Practice address
6719 SILVERCREST DR, ARLINGTON, TX 76002-3559
(817) 557-4311
(817) 419-6680
Mailing address
6719 SILVERCREST DR, ARLINGTON, TX 76002-3559
(817) 557-4311
(817) 419-6680
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
08/25/2008
Last updated
02/01/2011
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