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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