Organization
ULTIMATE HEALTHCARE LLC
Active
Organization
ULTIMATE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA MILLER LPN (OWNER/CEO)
(904) 234-1982
Entity
Organization
Contact information
Practice address
1583 W 18TH ST, JACKSONVILLE, FL 32209-4866
(904) 234-1982
Mailing address
PO BOX 12305, JACKSONVILLE, FL 32209-0305
(904) 234-1982
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN1316831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685158496
—
FL
05
—
689294900
—
FL
Enumeration date
02/14/2018
Last updated
02/14/2018
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