NPI | 1053428052 |
---|---|
Doing Business As | TENDERCARE GAYLORD |
Entity Type | Organization |
Authorized Contact | DONNA J. MAASSEN Privacy Officer 414-908-8119 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 694020) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2008-03-05 |