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Organization

TENDERCARE MICHIGAN INC.

Active
Other names
Tendercare of Westwood
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
2575 N DRAKE RD, KALAMAZOO, MI 49006-1358
(269) 342-0206
(269) 342-6103
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
394160
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
603014000
MI
Enumeration date
05/28/2006
Last updated
04/30/2014
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