Organization
TURNER TENDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOLA M WILSON (LICENSEE)
(269) 639-1508
Entity
Organization
Contact information
Practice address
10871 68TH ST, SOUTH HAVEN, MI 49090-8729
(269) 639-1508
Mailing address
10871 68TH ST, SOUTH HAVEN, MI 49090-8729
(269) 639-1508
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF800360822
MI
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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