Organization
TENDERCARE (MICHIGAN) INC.
Active
Other names
Tendercare Midland
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J. MAASSEN (DIRECTOR OF CORPORATE COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
4900 HEDGEWOOD DR, MIDLAND, MI 48640-1928
(989) 631-9670
(989) 631-6899
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
564030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602617270
—
MI
05
—
605365318
—
MI
Enumeration date
06/17/2006
Last updated
07/21/2009
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