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Organization
TENDERCARE SELECT PROPERTIES INC.
Active
Organization
TENDERCARE SELECT PROPERTIES INC.
Active
Other names
Tendercare Gaylord
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNA J. MAASSEN (PRIVACY OFFICER)
(414) 908-8119
Entity
Organization
Contact information
Practice address
508 RANDOM LN, RTE. 1, GAYLORD, MI 49735-9304
(989) 732-3508
(989) 731-5260
Mailing address
209 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-4200
(906) 635-0020
(906) 635-0212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
694020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3294217
—
MI
Enumeration date
08/24/2006
Last updated
03/05/2008
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