# TENDERCARE (MICHIGAN) INC.

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

## Provider details

- **NPI number:** 1679518377
- **Authorized official:** MS. DONNA J. MAASSEN (DIRECTOR OF CORPORATE COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 4900 HEDGEWOOD DR, MIDLAND, MI 48640-1928
- **Practice address phone:** (989) 631-9670
- **Practice address fax:** (989) 631-6899
- **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 | 564030 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 07/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 602617270 | — | MI |
| 05 | — | 605365318 | — | MI |