Organization
UPCAP SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA M THOMMA (ADMINISTRATIVE SERVICES MANAGER)
(906) 786-4701
Entity
Organization
Contact information
Practice address
2501 14TH AVE S, ESCANABA, MI 49829-1136
(906) 786-4701
(906) 786-8047
Mailing address
2501 14TH AVE S, ESCANABA, MI 49829-1136
(906) 786-4701
(906) 786-8047
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508819
—
MI
05
—
4509422
—
MI
Enumeration date
08/11/2011
Last updated
08/11/2011
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