| NPI | 1669417473 |
|---|---|
| Doing Business As | TENDERCARE PORTAGE |
| Entity Type | Organization |
| Authorized Contact | DONNA JO THIEL Director Of Compliance 414-908-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 394180) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-02-19 |