# TENDERCARE TRAVERSE CITY INC.

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

## Provider details

- **NPI number:** 1386686624
- **Authorized official:** MS. DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 2585 LAFRANIER RD, TRAVERSE CITY, MI 49686-8972
- **Practice address phone:** (231) 947-9511
- **Practice address fax:** (231) 947-1250
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 284030 | MI | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 04/10/2008