Organization
ULTIMATE GOAL HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARREY KINGSLY ETCHIBANYI (ADMINISTRATOR)
(202) 725-0560
Entity
Organization
Contact information
Practice address
4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
(202) 344-7574
(202) 204-5726
Mailing address
4920 NIAGARA RD STE 318, COLLEGE PARK, MD 20740-1110
(202) 725-0560
(202) 204-5726
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100401
MD
251E00000X
Home Health Agency
NSA-0214
DC
Other
Enumeration date
05/04/2011
Last updated
05/27/2011
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