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Organization

TENDERCARE MICHIGAN INC.

Active
Other names
Tendercare Health Center of Wyoming
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
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3690
(616) 261-3925
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
414384
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
605204498
MI
Enumeration date
03/05/2007
Last updated
02/19/2014
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