Organization
ULTRACARE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA OBENEWA AMOANI (ADMINISTRATOR)
(571) 382-8410
Entity
Organization
Contact information
Practice address
104 CORAL REEF CT, STAFFORD, VA 22554-4506
(571) 382-8410
(571) 382-8000
Mailing address
104 CORAL REEF CT, STAFFORD, VA 22554-4506
(571) 382-8410
(571) 382-8000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/09/2024
Last updated
01/09/2025
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