# FMG WEST CITY PARK DRIVE MICHIGAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tendercare Health Center - Munising
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700284148
- **Authorized official:** DAVID KEATING (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (414) 908-8058

## Contact information

- **Practice address:** 300 CITY PARK DR, MUNISING, MI 49862-1130
- **Practice address phone:** (906) 387-2273
- **Practice address fax:** (906) 387-3922
- **Mailing address:** 300 CITY PARK DR, MUNISING, MI 49862-1130
- **Mailing address phone:** (906) 387-2273
- **Mailing address fax:** (906) 387-3922

## Taxonomy

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

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/23/2014