NPI | 1831597285 |
---|---|
Doing Business As | TENDERCARE GAYLORD |
Entity Type | Organization |
Authorized Contact | DAVID KEATING Authorized Official 414-908-8058 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2014-12-17 |
Last Update Date | 2014-12-23 |