Organization
TENDERCARE (MICHIGAN) INC.
Active
Other names
Tendercare South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J. WELTON (VICE PRESIDENT)
(906) 635-0020
Entity
Organization
Contact information
Practice address
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
(517) 882-2458
(517) 882-2950
Mailing address
209 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-4200
(906) 635-0020
(906) 635-0212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
334150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2617350
—
MI
Enumeration date
06/17/2006
Last updated
08/22/2020
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