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Organization

TENDERCARE (MICHIGAN) INC.

Active
Other names
Tendercare Health Center of Leelanau
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization

Contact information

Practice address
124 W FOURTH ST, SUTTONS BAY, MI 49682-9711
(231) 271-1200
(231) 271-1214
Mailing address
111 W. MICHIGAN STREET, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-8481

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
45-4013
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4969119
MI
Enumeration date
11/07/2006
Last updated
11/12/2009
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