# TENDERCARE

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

## Provider details

- **NPI number:** 1922439272
- **Authorized official:** MRS. KIMBERLY ANN HALL COTA/L (CERTIFIED OCCUPATIONAL THERAPY ASST)
- **Authorized official phone:** (313) 671-6231

## Contact information

- **Practice address:** 19300 WHERLE DR, BROWNSTOWN, MI 48193-8530
- **Practice address phone:** (313) 671-6231
- **Mailing address:** 22950 NORTHLINE RD, TAYLOR, MI 48180-4696
- **Mailing address phone:** (734) 287-1230

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5202002761 | BOARD OF OCCUPATIONAL THERAPIST OCCUPATIONAL THERAPY ASSISTANT LICENSE | MI |
