Provider Demographics
NPI:1144363656
Name:TENDER CARE NURSING, INC.
Entity type:Organization
Organization Name:TENDER CARE NURSING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:COOPER-SWENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-820-0241
Mailing Address - Street 1:700 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-3628
Mailing Address - Country:US
Mailing Address - Phone:218-820-0241
Mailing Address - Fax:218-825-8536
Practice Address - Street 1:700 FRONT ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-3628
Practice Address - Country:US
Practice Address - Phone:218-820-0241
Practice Address - Fax:218-825-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2009-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care