Organization
NYFRIES, INC
Active
Other names
UP HOME HEALTH AND HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA NYQUIST RN,MSN,CHPN (EXECUTIVE DIRECTOR/CEO)
(906) 225-4545
Entity
Organization
Contact information
Practice address
1125 W RIDGE ST, MARQUETTE, MI 49855
(906) 225-4545
(906) 225-4573
Mailing address
1125 W RIDGE ST, MARQUETTE, MI 49855-3191
(906) 225-4545
(905) 225-7543
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E858
HOME HEALTH BCBS NUMBER
MI
01
—
1007472
PREFERRED ONE PROVIDER #
MI
05
—
1722074
—
MI
Enumeration date
07/12/2005
Last updated
07/12/2018
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