Document:

Exhibit 10.19

                    PHARMACY AND NURSING SERVICES AGREEMENT
                                    BETWEEN
                            M T ULTIMATE HEALTHCARE
                                      AND
                         THE PROMPTCARE COMPANIES, INC.

This  PHARMACY  AND NURSING SERVICES AGREEMENT (the "Agreement") is effective as
of  the  8  day of June, 2004 ("the Effective Date") by and between M T Ultimate
Healthcare,  having  its principal place of business at 45 Main Street Brooklyn,
NY  and  a branch office at 2434 Grand Avenue Baldwin,  New York ("Agency"), and
The  PromptCare  Companies having its principal place of business at 51 Terminal
Avenue,  Clark,  New  Jersey,  07066  ("PromptCare").

                                  WITNESSETH :
                                  -------------

WHEREAS,  Agency  provides  home  health nursing services to patients who are in
need  of  such  services at home and who are residents of New York or New Jersey
and  who  are  referred  by  families,  licensed physician, hospitals, and other
health  and  welfare  agencies;  and

WHEREAS,  Agency  is  duly  licensed  in  the  state  of  New  York.

WHEREAS,  PromptCare  is  a  pharmacy  duly licensed by the State of New Jersey,
engaged in the business of dispensing pharmaceuticals and pharmacy services, and
employs  pharmacist(s)  who  are  currently registered  and /or certified in the
State  of  New  Jersey  to  practice  pharmacy;  and

WHEREAS,  PromptCare  desires  to  provide  pharmaceutical  products,  admixture
services, related supplies, as well as additional specific services as described
in  Exhibit  A attached hereto (collectively referred herein as the "Pharmacy"),
    ----------
to  certain  patients  in  New York and New Jersey on the terms set forth below.

WHEREAS,  PromptCare desires to obtain and Agency desires to provide home health
nursing  services  as  described  in  Exhibit  B  attached  hereto (collectively
                                      ----------
referred  to as the "Nursing Services"), to certain patients in New York and New
Jersey  on  terms  set  forth  below.

NOW  THEREFORE, in consideration of the above recitals, the terms and conditions
set  forth  in  this  Agreement,  and other good and valuable consideration, the
receipt and sufficiency of which are acknowledged, the parties agree as follows:

<PAGE>

IN  WITNESS  WHEREOF,  the parties hereto have executed this Agreement as of the
date(s)  indicated  below.

Agency  Name:  M  T  Ultimate Healthcare            PromptCare Companies, Inc.
By:  /s/  Maria  Francois                           By:  /s/  Beverly  Greatorex
Its:  Administrator                                 Its:  Director  of  Nursing
Date:  6/03/04                                      Date:  6/08/04

<PAGE>Exhibit 10.20

               CONTRACT FOR HOME INFUSION THERAPY SERVICES BETWEEN
                 MT ULTIMATE HEALTHCARE AND ORION HOME INFUSION

THIS AGREEMENT, made this 8th day of December, 2003, Mid Atlantic Home Infusion
, a New Jersey business authorized to conduct business in the state of New
Jersey, which holds a pharmacy license pursuant to the New Jersey State Public
Health Law. Mid Atlantic and MT Ultimate Healthcare, a licensed Health Care
Service Agency pursuant to Article 36 of the New York State Public Health Law
(LHCSA), provides as follows:

                                   WITNESSETH

WHEREAS, the LHCSA (I) assess the home health care service needs of Patients
under its care, and (II) together with the Patient, the patient's family, the
Patient's physician and the Patient's other health care providers, develop a
plan to provide for the home health care service needs of the patient, and is in
the business of providing Home Health Care Services; and (III) provides to
Patients within their homes, heath care personnel to address their home health
care service needs; and

     WHEREAS, Mid Atlantic Home Infusion Therapy provides pharmaceuticals,
supplies and equipment to their patients, as well as certain Patients under the
care of LHCSA; and

     WHEREAS, LHCSA has chosen Mid Atlantic herein as their agent for supplying
said pharmaceuticals, supplies and equipment to its Patients, and Mid Atlantic
has chosen LHCSA as a provider of nursing services for which Mid Atlantic wishes
to refer patients to.

     NOW THEREFORE, in consideration of the services to be performed and
rendered by Mid Atlantic and LHCSA, together with such other valuable
consideration exchanged between parties, it is hereby acknowledged and agreed as
follows:

1.     RESPONSIBILITIES OF Mid Atlantic

     a.   Implementation  of services provided: Under the supervision of LHCSA's
          ------------------------------------
          personnel,  the  Patients  referred  to  Mid Atlantic by LHCSA for the
          provision  of  medication supplies and equipment, and for the patients
          of  Mid  Atlantic  referred  to  LHCSA  for  the  provision of nursing
          services,  Mid  Atlantic  personnel  will  perform  these specialized,
          skills  or  other services which are provided for herein in accordance
          with  the  medical plans of treatment and plans of care established by
          LHCSA.

     b.   Documentation  and communication: Services provided by LHCSA personnel
          --------------------------------
          will  be  appropriately  documented on forms specified and provided by
          LHCSA  or  by Mid Atlantic, depending on LHCSA's preference. All forms
          which  are supplied by Mid Atlantic at LHCSA's option must comply with
          all  applicable  State  and Federal regulations and conform to LHCSA's
          plans of treatment and care as established by LHCSA. Mid Atlantic will
          furnish  copies  of  such  documentation  to the LHCSA within ten (10)
          business  days  of  providing  the  services  under  this  agreement.
          Telephone  consultation with the LHCSA as needed to report any changes
          in  the  Patient's  condition  or  circumstances,  and to keep LHCSA's
          personnel  appropriately  informed  of  the  patient's progress and/or
          problems  which  may  arise.

     c.   Authorization  for  Services:  The  implementation  of  all  services
          ----------------------------
          provided to the patients of LHCSA by herein under this agreement shall
          be delivered solely in the response to LHCSA's prior request. Patients
          of  which  are referred to LHCSA for the provision of nursing services
          are  assumed  authorized  for service by Mid Atlantic at the time that
          the  referral is made by HCS. Professionals delivering services to the
          patient  under  the direction of Mid Atlantic must maintain and assure
          that  care  planning and service delivery provided are coordinated and
          supervised  by  Mid  Atlantic  with  ultimate responsibility remaining
          under  the  LHCSA's  supervision  as  the  primary  licensed home care
          agency.

<PAGE>

     d.   Personnel:  All  Mid  Atlantic  personnel  who  perform  the  services
          ---------
          provided  for under this agreement shall meet all applicable State and
          professional standards and requirements including license verification
          and/or  other  appropriate  credentials.  Upon  LHCSA's  request,  Mid
          Atlantic  shall  furnish LHCSA with a profile of all LHCAS's personnel
          qualifications,  including  any and all information required under the
          New  York  State  Code  of  Rules  and  Regulations.

     e.   Accessibility:  Mid Atlantic shall provide 24 hour on-call access by a
          -------------
          licensed  pharmacist  and  other support personnel to answer questions
          and/or  concerns  which need to be addressed by Patients of the LHCSA,
          to  provide pharmaceuticals and/or equipment as needed pursuant to the
          Patient's  Plan  of  Care  as  developed  by  the  LHCSA.

     f.   Delivery:  Mid Atlantic shall deliver to the patient the initial setup
          --------
          and  ongoing  delivery  of  Infusion  drugs  and  solutions,  infusion
          equipment  and  related medical supplies for LHCSA's patient's home at
          least 5 hours prior to the time scheduled by LHCSA's nursing personnel
          to  perform  nursing  services.

     g.   Universal  precautions:  Mid Atlantic shall pick up and dispose of, in
          ----------------------
          accordance  with all applicable law, rules and regulation, all medical
          waste (including sharps and "red bags" waste) from the patient's homes
          regardless  of  the  source  of the medical waste, for any patient for
          whom  the  LHCSA  is providing infusion therapy services. Mid Atlantic
          shall  assure  that  all  personnel  handling  said  medical waste are
          properly trained with respect to the rules and regulations promulgated
          by  OSHA,  and  that  said  the  personnel  comply  with all Universal
          Precautions  Standard established by Federal, state or local agencies.

     h.   Medical  Equipment Maintenance and cleaning: Mid Atlantic shall supply
          -------------------------------------------
          and  deliver  infusion therapy products, equipment and supplies needed
          by  the  LHCA seven (7) days a week on an emergency basis, twenty four
          (24)  hours per day. All equipment and supplies which are delivered to
          patients  shall be in good and proper condition and selected according
          to each patient's particular need and requirements consistent with the
          Physician's  plan  of  Care.  Within 3 days of the patient's discharge
          from  service,  Mid  Atlantic  shall remove all equipment and supplies
          from  the  patient's home and shall clean, sterilize and maintain such
          equipment  in accordance with the rules and regulations promulgated by
          OSHA.

     i.   Pharmaceuticals:  Mid  Atlantic  shall  furnish  supplies  and provide
          ---------------
          parenteral,  antimicrobial,  pain  management  and  infusion  therapy
          admixture  solutions,  using aseptic technique and appropriate quality
          procedures  in  accordance  with  applicable  pharmacy regulations and
          delivering orders of infusion therapy products, equipment and supplies
          to  LHCSA  patients  in  a  timely  fashion  as  determined  by LHCSA.

     J.   Training:  Mid Atlantic shall provide all necessary in-service manuals
          --------
          and other documentation necessary to properly instruct LHCSA personnel
          on  the  proper  use  of  the  equipment  provided. Mid Atlantic shall
          further  provide  in-service  training  and  instructions  to  LHCSA
          supervisions for teaching the patient and caregivers on the use of the
          infusion  equipment  and  other  related  durable  medical  equipment
          delivered  in  accordance  with  paragraph  1(F)  herein

     k.   Insurance:  Mid  Atlantic  shall option, at it's sole expense, a valid
          ---------
          policy  of  insurance  covering  general  and  professional  liability
          arising  from  the  acts  or  omissions  of  HCS its agents and/or its
          employees,  in  an  amount  generally  considered  standard  in  HCS'
          industry,  but  in  any  event no less than $1,000,000 per occurrence,
          $3,000,000  in the aggregate. Mid Atlantic shall forward a Certificate
          of Insurance to LHCSA upon request and will give prompt written notice
          of  any  material  change  in  HCS's  coverage.

<PAGE>

     l.   Indemnification: Mid Atlantic hereby agrees to indemnify LHCSA for any
          ---------------
          and  all  causes of action which result from any act(s) or omission(s)
          of  id  Atlantic  or  HCS's  personnel.

     m.   Responsibility  for  Patient Care: Notwithstanding any other provision
          ---------------------------------
          of  this agreement, Mid Atlantic shall remain responsible for ensuring
          that  any  services  they  provide pursuant to this agreement complies
          with  all  pertinent  provisions of Federal, State and Local statutes,
          rules  and  regulations  and  shall ensure the quality of all services
          provided  by  id  Atlantic adheres to the Plan of Care established for
          individual  patients  by  LHCSA.

     n.   Payment  for services: It is understood that for all services provided
          ---------------------
          hereunder  by  LHCSA  to  Mid  Atlantic  patients,  Mid Atlantic shall
          directly bill all patients or third party reimbursement sources. LHCSA
          shall  invoice  OHI  for  all  nursing services as provided hereunder,
          providing  skilled nursing visit notes for each visit, and invoice Mid
          Atlantic monthly for said services. Mid Atlantic shall reimburse LHCSA
          for  services  rendered  within  thirty  (30)  days  of the receipt of
          invoice.  Should  Mid  Atlantic  dispute any portion, they must notify
          LHCSA  within  twenty (20) days of our invoice date. Failure to notify
          LHCSA  within the timeframe shall be deemed acceptance to pay LHCSA in
          full  for  the  invoice.

2.     RESPONSBILITIES OF LHCSA

     a.   Request  for  Service: For services provided to patients both referred
          ---------------------
          to  Mid  Atlantic  by  LHCSA  for  the  provision  of pharmaceuticals,
          supplies  and  equipment,  as well as patients referred to LHCSAby Mid
          Atlantic  for  the  rendition  of  nursing  services,  LHCSA  shall be
          responsive  for  the  development,  monitoring  and  revision  of  the
          Patient's  Care  Plan,  and  utilizing  for  this  purpose information
          necessary  to  manage  the  patient's  homecare needs. Upon making any
          change  to  the  Patient's  Care Plan, LHCSA will promptly notify HCS.

     b.   Patient Admission and Discharge: LHCSA shall remain solely responsible
          -------------------------------
          for  the  admission,  transfer  and  discharge  under  their care. Mid
          Atlantic  hereby  agrees to comply with any and all decisions relating
          to  the  admission,  transfer  and  discharge of any LHCSA's patients.

     c.   Case  Management:  LHCSA  shall  be  ultimately  responsible for those
          ----------------
          services  furnished  under  this agreement. These services may include
          but  are  not  limited  to  the  provision  of:

     d.   Appropriateness of Homecare: Screening to identify patients in need of
          ---------------------------
          the  services provided for herein, together with their appropriateness
          for  home  care  services  as  follows:

     e.   Admission  Assessment
          ---------------------

          i.  Development  of  the  Patient's  Plan  of  Care
         --

          ii.  Appropriate  training of infusion patients and / or the patient's
          ---
               responsible  infusion  care  partners

          iii.  Periodic  assessment  of  patient's  progress
          ----

          iv.  Periodic  review and appropriate review of patient's Plan of Care
          ---

          v.  Scheduling  of  routine  patient  visits
          --

          vi.  Obtaining  the  initial  Physician  Plan of Treatment and updated
          ---
               physician orders;

          vii. Arranging  for delivery of services by notifying Mid Atlantic of
          ---
               the  needs  for  such  services;

          viii.  Any other services to assure compliance by OHI with the patient
          ----
                 plan of care including coordination of services and supervision
                 of  the  plan  of  care

          ix.  Discharge  planning
          ---

<PAGE>

     f.   Orientation:  LHCSA  shall  orient and instruct HCS's coordinators and
          -----------
          the  Directors of Quality Assurance of LHCSA's policies and procedures
          relating  to  the  services provided for herein including the required
          documentation  and  timely  submission  thereof.

     g.   Compliance:  Notwithstanding  any  other  provisions in this contract,
          LHCSA  remains  responsible for (a) ensuring that any service provided
          pursuant  to  this  complies with all pertinent provisions of Federal,
          State  and Local statutes and regulations; (b) ensuring the quality of
          all  services  provided  by  the agency; and (c) ensuring adherence by
          agency  staff  to  the  agency  plan of care established for Patients.

     h.   Billing:  Unless  otherwise mutually agreed, LHCSA shall submit weekly
          --------
          invoices  to  Mid Atlantic for each patient to whom services have been
          provided  under  this contract for at the rates specified and attached
          as  Appendix  A  attached  hereto.

     i.   Payment  of  Services:  It  is  understood  that  all pharmaceuticals,
          ---------------------
          supplies  and equipment provided hereunder by Mid Atlantic to Patients
          of  LHCSA,  Mid  Atlantic  shall  directly bill LHCSA unless otherwise
          agreed  by  and between the parties hereto. Mid Atlantic shall invoice
          LHCSA  for  all  pharmaceuticals,  supplies  and equipment as provided
          hereunder  weekly.  LHCSA  shall  reimburse Mid Atlantic within thirty
          (30)  days of the receipt of invoice. Should LHCSA dispute any charges
          on  an  invoice,  they  must notify Mid Atlantic within 20 days of the
          invoice  date.  Failure  to notify Mid Atlantic within this time frame
          shall  be  deemed  acceptance  to  pay  Mid  Atlantic  in full for the
          invoice.

     j.   Insurance:  LHCSA shall obtain, at its sole expense, a valid policy os
           ---------
          insurance covering general and professional liability arising from the
          acts  or  omission  of LHCSA, its agents and / or its employees, in an
          amount  generally  considered  standard  LHCSA's  industry, but in any
          event  no  less  that  $1,000,000  per  occurrence,  $3,000,000 in the
          aggregate.  LHCSA  shall  forward  a Certificate of Insurance to LHCSA
          upon  request  and  will  give  prompt  written notice of any material
          change  in  LHCSA  coverage.

     k.   Indemnification: LHCSA hereby agrees to indemnify Mid Atlantic for any
          ---------------
          and  all  causes of action which result from any act(s) or omission(s)
          of  the  LHCSA  or  LHCSA's  personnel.

3.     MUTUAL RESPONSIBILITIES

     a.   Exchange  of  information:  Each  party  shall  furnish  to the other,
          --------------------------
          written  documentation  of  Patient assessment, Plan of Care, clinical
          record  entries,  supervisory  reports,  and  medical  orders,  and
          information  and  access  to  its  staff  to assure compliance by each
          party's  employees  with applicable statutes, rules and regulations on
          an  "as  needed  basis".

     b.   Confidentiality  of HIV- related information: Confidential HIV related
          --------------------------------------------
          Information will be released in accordance with NYS Public Health Law,
          Title  10,  Part  63.1 to 63.10 of the Official compilation of the New
          York  State  Codes,  Rules  and  Regulations.  "Aids  Testing  and
          Confidentiality  of  HIV-Related  Information".

     c.   Non-Exclusivity:  LHCSA  is  not  obligated to use the services of Mid
          ---------------
          Atlantic  exclusively. Mid Atlantic has the right to refuse a referral
          by  LHCSA.

4.     MISCELLANEOUS

<PAGE>

     a.   Term  & Termination: This agreement shall last for a period of one (1)
          -------------------
          year  and  will  be  reviewed  annually during the month first written
          above.  This  agreement  shall  remain  in force during the review and
          renegotiation.  This  agreement  may  be modified or amended by mutual
          consent  of  both  parties. Any such modification or amendment must be
          attached  and  become  part  of  this agreement. This agreement may be
          terminated  on  at  least  thirty  (30)  days written notice by either
          party.  All  written  notice  affecting  agreement termination must be
          delivered  by Certified or Registered Mail. The date of deposit of any
          notice  with  United  States  Postal  Service with all postage prepaid
          shall  be  deemed the date of delivery thereof. Failure to comply with
          the  conditions  of  this  agreement  may  be interpreted as cause for
          immediate  termination.  It  is  understood  that  this  agreement
          constitutes  the  entire  agreement  between  the LCSA and MHI herein.

     b.   Non-Discrimination:  Neither  Mid  Atlantic  or  the  LHCSA  will
          discriminate  in  the  delivery  of services under this Agreement with
          respect  to an individual's race, religion, sex, age, creed, handicap,
          national  origin  or  sexual  orientation.

     c.   Entire  Agreement:  This  Agreement  constitutes  the entire Agreement
          -----------------
          between  the LCSA and MHI herein. Any amendment to this Agreement must
          be  made  in  writing  and  signed  by  MHI  and  LCSA.

     d.   Notice:  All  notices  with  the  respect to this Agreement (including
          ------
          notice of Termination, rate changes and change of address) shall be in
          writing,  sent  via US Certified mail, return receipt requested to the
          appropriate  address  listed  below.

          MHI                                 LHCSA
                                              -----
          MidAtlantic  Home  Infusion
          353 C Route 46 W
          Fairfield, NJ 07004                 MT Ultimate Healthcare Corp.
                                              NY
          Attn: Harvey Sussman                Attn:  Maria Francois

     e.   Governing  Law: This Agreement shall be interpreted in accordance with
          the  Laws  of  the  State  of New York without regard to rules against
          conflict  of  laws.  All  disputes  arising  in  connection  with this
          agreement  shall  be  finally  settled under the rules of the American
          Arbitration  Association.  Such  arbitration  shall  take place in New
          York.  Judgment may be entered in a Court of competent jurisdiction on
          any  arbitration  award  so  rendered. All costs of collection for any
          arbitration  award  so  rendered  shall  be borne by the losing party.

     f.   Individuality  of Covenants: Should any part of this agreement for any
          ---------------------------
          reason,  be  declared  invalid,  such  decision  shall  not affect the
          validity  of  any remaining covenant herein which shall remain in full
          force  as  if  this  agreement had been executed with the invalid part
          eliminated.

          LHCSA  and  MHI have acknowledged their understanding of and agreement
          to  the  mutual  promises  written  above by executing this Agreement.
          Signed  and  agreed  to  as  of  the  date  first  written  above:

      HOME INFUSION                                   MT Ultimate Healthcare
      By: /s/ Harvey Sussman                          By:  /s/Maria Francois

---------------------------                    ----------------------------
          MHI                                             LHCSA

<PAGE>

                                SCHEDULE OF RATES

Start-up  and  Initial  Assessment
(up  to  2  hours  in  length)*                                       $125.00

Skilled  Nurse  Visits  (RN)
(up  to  2  hours  in  length)*                                       $100.00

Extended  Hourly  Rate  (RN):
(Hourly  rate  applies  to  visit  over  2  hours  in  length          $50.00
Including  Start-up,  Initial  Assessment  and  PICC/  Midline
Insertion)

PICC/  Midline  insertion                                             $125.00

PICC/  Midline  Insertion  and
Start-up  and  Initial  Assessment:                                   $150.00

Metronix  Pump  Program/Refill                                        $125.00

*  Missed visits which are not based upon the fault of LHCSA's personnel will be
billed  at  Per  Diem  Rate.

<PAGE>

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