Organization
TENDERCARE SELECT PROPERTIES INC.
Active
Other names
Tendercare Gaylord
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (PRIVACY OFFICER)
(414) 908-8119
Entity
Organization
Contact information
Practice address
508 RANDOM LN, RTE. 4, GAYLORD, MI 49735-9304
(989) 732-3508
(989) 731-5260
Mailing address
209 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-4200
(906) 635-0020
(906) 635-0212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
694020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2617180
—
MI
Enumeration date
06/17/2006
Last updated
03/05/2008
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