Organization
NORTH WOODS HOME NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB VARONI (ADMINISTRATOR)
(906) 341-6963
Entity
Organization
Contact information
Practice address
226 S CEDAR ST, MANISTIQUE, MI 49854-1426
(906) 341-6963
(906) 341-2490
Mailing address
226 S CEDAR ST, P.O. BOX 307, MANISTIQUE, MI 49854-1426
(906) 341-6963
(906) 341-2490
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
773515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08754
BLUE CROSS BLUE SHIELD
MI
05
—
3042470
—
MI
Enumeration date
10/02/2007
Last updated
05/01/2018
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