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Organization

TENDERCARE MICHIGAN, INC.

Active
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Organization

TENDERCARE MICHIGAN, INC.

Active
Other names
Rogers City Rehabilitation Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOYAL PAVEY (EXEUTIVE DIRECTOR)
(989) 734-7948
Entity
Organization

Contact information

Practice address
555 N BRADLEY HWY, SUITE C, ROGERS CITY, MI 49779-1539
(989) 734-7575
(989) 734-7648
Mailing address
555 N BRADLEY HWY, SUITE C, ROGERS CITY, MI 49779-1539
(989) 734-7575
(989) 734-7648

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
710030
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00255
BLUE CROSS BLUE SHIELD
MI
05
303205745
MI
01
70-0-G1-1010-0
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/12/2008
Last updated
02/15/2011
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