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Organization

ULTIMATE GOAL HOME CARE AGENCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARREY K ETCHIBANYI (CEO)
(202) 725-0560
Entity
Organization

Contact information

Practice address
3300 COUNTY ROAD 10 STE 400B, BROOKLYN CENTER, MN 55429-3067
(763) 458-1548
(763) 431-7333
Mailing address
3300 COUNTY ROAD 10 STE 400B, BROOKLYN CENTER, MN 55429-3067
(763) 458-1548
(763) 431-7333

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
MN

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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