Organization
THE ULTIMATE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIKIRAT IYABO DISU (PRESIDENT)
(301) 326-7320
Entity
Organization
Contact information
Practice address
2555 MADISON AVE, BALTIMORE, MD 21217-4041
(301) 326-7320
Mailing address
2555 MADISON AVE, BALTIMORE, MD 21217
(301) 326-7320
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R2696
MD
Other
Enumeration date
04/13/2009
Last updated
04/21/2009
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