# ULTIMATE GOAL HOME CARE AGENCY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437441896
- **Authorized official:** MR. ARREY KINGSLY ETCHIBANYI (ADMINISTRATOR)
- **Authorized official phone:** (202) 725-0560

## Contact information

- **Practice address:** 4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
- **Practice address phone:** (202) 344-7574
- **Practice address fax:** (202) 204-5726
- **Mailing address:** 4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
- **Mailing address phone:** (202) 725-0560
- **Mailing address fax:** (202) 204-5726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 100401 | MD | Yes |
| 251E00000X | Home Health Agency | NSA-0214 | DC | — |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 05/27/2011