Organization
ULTRA HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EVELYNE NGUETSOP SOBGO HOME HEALTH CARE (AIDS)
(267) 266-0833
Entity
Organization
Contact information
Practice address
439 ONEIDA PL NW, WASHINGTON, DC 20011-2150
(202) 291-7226
Mailing address
10728 CASTLETON WAY, UPPER MARLBORO, MD 20774-1470
(267) 266-0833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
62407
DC
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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