# TENDERCARE SELECT PROPERTIES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tendercare Gaylord
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053428052
- **Authorized official:** MR. DONNA J. MAASSEN (PRIVACY OFFICER)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 508 RANDOM LN, RTE. 1, GAYLORD, MI 49735-9304
- **Practice address phone:** (989) 732-3508
- **Practice address fax:** (989) 731-5260
- **Mailing address:** 209 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-4200
- **Mailing address phone:** (906) 635-0020
- **Mailing address fax:** (906) 635-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 694020 | MI | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 03/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3294217 | — | MI |