Healthcare Provider Details

I. General information

NPI: 1487654547
Provider Name (Legal Business Name): TENDERCARE MICHIGAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N BRADLEY HWY SUITE C
ROGERS CITY MI
49779-1539
US

IV. Provider business mailing address

555 N BRADLEY HWY SUITE C
ROGERS CITY MI
49779-1539
US

V. Phone/Fax

Practice location:
  • Phone: 989-734-7948
  • Fax: 989-734-7648
Mailing address:
  • Phone: 989-734-7948
  • Fax: 989-734-7648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. JOYAL PAVEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 989-734-7545