Organization
ULTIMATE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LEE ROTH REGISTERED NURSE (PRESIDENT / OWNER)
(408) 761-5847
Entity
Organization
Contact information
Practice address
101 CIRO AVE, SAN JOSE, CA 95128
(408) 761-5847
Mailing address
4215 HAMILTON AVE, SAN JOSE, CA 95130-1462
(408) 761-5847
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
549631
CA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
About Stedi
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