Organization
TENDERCARE MICHIGAN INC.
Active
Other names
Tendercare Mt. Pleasant
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JO THIEL (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
(989) 772-9454
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-8481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
374020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623894
—
MI
Enumeration date
05/28/2006
Last updated
04/30/2014
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