Organization
FMG NORTH STREET WEST MICHIGAN LLC
Active
Other names
Tendercare Tawas City
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
400 NORTH ST W, TAWAS CITY, MI 48763-9161
(989) 362-8645
(989) 362-4462
Mailing address
400 NORTH ST W, TAWAS CITY, MI 48763-9161
(989) 362-8645
(989) 362-4462
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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