Healthcare Provider Details

I. General information

NPI: 1649349085
Provider Name (Legal Business Name): ULTRA INTERNATIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 ONEIDA PL NW
WASHINGTON DC
20011-2150
US

IV. Provider business mailing address

439 ONEIDA PL NW
WASHINGTON DC
20011-2150
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-7226
  • Fax: 202-291-4009
Mailing address:
  • Phone: 202-291-7226
  • Fax: 202-291-4009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC

VIII. Authorized Official

Name: MRS. PATIENCE ONYEDIKACHI ORUH
Title or Position: DIRECTOR CHIEF EXECUTIVE OFFICER
Credential: BSN MSN RN
Phone: 202-291-7226