# TENDERHEART ADULT FAMILY HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811716244
- **Authorized official:** ANNETTE C SCHLAGENHAFT RN (REGISTERED NURSE)
- **Authorized official phone:** (920) 948-3118

## Contact information

- **Practice address:** 361 DOTY ST, MONTELLO, WI 53949-9327
- **Practice address phone:** (920) 948-3118
- **Mailing address:** 361 DOTY ST, MONTELLO, WI 53949-9327
- **Mailing address phone:** (920) 948-3118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 11/18/2024