NPI 1689398455
Ultima II, LLC
Practice location
- Address
- 10320 Little Patuxent Pkwy STE 200, Columbia, MD 21044-3344
- Phone
- (973) 510-2100
- Mailing address
- 2851 Jessup Rd Unit 932, Jessup, MD 20794-7545
Authorised official
- Name
- K.C. Gleaton
- Title
- Manager
- Phone
- (973) 510-2100
Registered specialties
Supports Brokerage Agency
Primary
Registry record
- NPI
- 1689398455
- Entity type
- Organization
- NPI issued
- 26 Sep 2022
- Record last updated
- 21 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.