# TENDERCARE (MICHIGAN) INC.

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

## Provider details

- **NPI number:** 1154366086
- **Authorized official:** MR. DOUGLAS J. WELTON (VICE PRESIDENT)
- **Authorized official phone:** (906) 635-0020

## Contact information

- **Practice address:** 2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
- **Practice address phone:** (517) 882-2458
- **Practice address fax:** (517) 882-2950
- **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 | 334150 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2617350 | — | MI |