NPI 1417784604
Upstream Enterprises, LLC.
Practice location
- Address
- 417 Main Ave, Fargo, ND 58103-1956
- Phone
- (701) 446-8512
- Mailing address
- 1621 8th Ave S, Fargo, ND 58103-2535
Authorised official
- Name
- Troy Alan White
- Title
- President
- Phone
- (701) 799-6254
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1417784604
- Entity type
- Organization
- NPI issued
- 19 Sep 2024
- Record last updated
- 19 Sep 2024
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.