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Organization
ULTIMATECAREANDHOSPICELLC
Active
Organization
ULTIMATECAREANDHOSPICELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP OHENE ASIEDU (PRESIDENTOPERATOR)
(571) 277-3838
Entity
Organization
Contact information
Practice address
110 TERRACE DR, STAFFORD, VA 22554-4864
(571) 277-3838
Mailing address
110 TERRACE DR, STAFFORD, VA 22554-4864
(571) 277-3838
(703) 441-1625
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO07423
VA
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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