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Organization
ULTIMATE GOAL HOME CARE AGENCY INC
Active
Organization
ULTIMATE GOAL HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARREY KINGSLY ETCHIBANYI (ADMINISTRATOR)
(202) 725-0560
Entity
Organization
Contact information
Practice address
4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
(202) 344-7574
(202) 204-5726
Mailing address
4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
(202) 725-0560
(202) 204-5726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100401
MD
251E00000X
Home Health Agency
NSA-0214
DC
Other
Enumeration date
05/04/2011
Last updated
05/27/2011
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