Organization
ULTICARE MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH ANUKWU (ADMINISTRATOR)
(703) 445-4009
Entity
Organization
Contact information
Practice address
4601 PINECREST OFFICE PARK DR, SUITE F, ALEXANDRIA, VA 22312-1442
(703) 445-4009
Mailing address
4601 PINECREST OFFICE PARK DR, SUITE F, ALEXANDRIA, VA 22312-1442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-151154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-151154
VIRGINIA DEPARTMENT OF HEALTH
VA
Enumeration date
08/05/2014
Last updated
08/05/2014
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