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NPI Code Detail

MEDICARE: TENDERCARE (MICHIGAN) INC.

MEDICARE: TENDERCARE (MICHIGAN) INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility713010MI

General Provider Information

NPI Number : 1437186624
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDERCARE (MICHIGAN) INC.
Provider Business Mailing Address
First Line : 111 W MICHIGAN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53203-2903
Country : US
Telephone Number : 414-908-8119
Fax Number : 414-908-8481
Provider Business Practice Location Address
First Line : 555 N BRADLEY HWY
Second Line : SUITE D
City : ROGERS CITY
State : MI
Zip : 49779-1539
Country : US
Telephone Number : 989-734-2152
Fax Number : 989-734-4311
Authorized Official
Title or Position : DIRECTOR OF COMPLIANCE
Name : MS. DONNA JO MAASSEN
Credential :
Telephone Number : 414-908-8119
Provider Enumeration Date : 06/26/2006
Last Update Date : 04/10/2008

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Directions to “TENDERCARE (MICHIGAN) INC. ” Practice Location

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