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Organization

ULTIMATE HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLENDA JEAN BRYANT (DIRECTOR)
(252) 353-8880
Entity
Organization

Contact information

Practice address
3011 S MEMORIAL DR STE 6, GREENVILLE, NC 27834-6238
(252) 353-8880
(252) 353-5206
Mailing address
PO BOX 30345, GREENVILLE, NC 27833-0345
(252) 353-8880
(252) 353-5206

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
HC3077
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408558
NC
05
6601329
NC
Enumeration date
01/25/2007
Last updated
05/04/2023
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