Organization
FMG LAFRANIER DRIVE MICHIGAN LLC
Active
Other names
Tendercare Traverse City
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
2585 LAFRANIER RD, TRAVERSE CITY, MI 49686-8972
(231) 947-9511
(231) 947-1250
Mailing address
2585 LAFRANIER RD, TRAVERSE CITY, MI 49686-8972
(231) 947-9511
(231) 947-1250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/23/2014
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