Organization
ULTIMA, LLC
Active
Organization
ULTIMA, LLC
Active
Other names
UltimaMedical
Organization subpart
No
Provider details
NPI number
Authorized official
K.C. GLEATON (OWNER)
(410) 999-0999
Entity
Organization
Contact information
Practice address
10320 LITTLE PATUXENT PKWY STE 200, COLUMBIA, MD 21044-3344
(833) 693-0833
(410) 429-2968
Mailing address
2851 JESSUP RD UNIT 932, JESSUP, MD 20794-7545
(833) 693-0833
(410) 429-2968
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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