# ULTRA HOME HEALTH AGENCY

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

## Provider details

- **NPI number:** 1619230224
- **Authorized official:** MISS EVELYNE NGUETSOP SOBGO HOME HEALTH CARE (AIDS)
- **Authorized official phone:** (267) 266-0833

## Contact information

- **Practice address:** 439 ONEIDA PL NW, WASHINGTON, DC 20011-2150
- **Practice address phone:** (202) 291-7226
- **Mailing address:** 10728 CASTLETON WAY, UPPER MARLBORO, MD 20774-1470
- **Mailing address phone:** (267) 266-0833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 62407 | DC | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 06/19/2012