# TENDERCARE (MICHIGAN) INC.

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

## Provider details

- **NPI number:** 1700955218
- **Authorized official:** DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 124 W FOURTH ST, SUTTONS BAY, MI 49682-9711
- **Practice address phone:** (231) 271-1200
- **Practice address fax:** (231) 271-1214
- **Mailing address:** 111 W. MICHIGAN STREET, 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 | 45-4013 | MI | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 11/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4969119 | — | MI |