MEDICARE: TENDER NURSING CARE SERVICES

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
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1538489711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER NURSING CARE SERVICES

Provider Business Mailing Address
First Line	:	6878 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5045
Country	:	US
Telephone Number	:	954-366-4174
Fax Number	:	954-917-1126

Provider Business Practice Location Address
First Line	:	6878 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5045
Country	:	US
Telephone Number	:	954-366-4174
Fax Number	:	954-917-1126

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SANDRA MAUREEN HENRY
Credential	:
Telephone Number	:	954-366-4174

Provider Enumeration Date	:	06/10/2010
Last Update Date	:	06/10/2010

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