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Organization

ULTIMATE CARE CENTER

Active
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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
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