Provider Demographics
NPI:1720585003
Name:M H TENDER CARE INC.
Entity Type:Organization
Organization Name:M H TENDER CARE INC.
Other - Org Name:MH TENDER CARE 111
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MURNA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-447-7574
Mailing Address - Street 1:9 PONDEROSA LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-4921
Mailing Address - Country:US
Mailing Address - Phone:386-586-6026
Mailing Address - Fax:386-586-2582
Practice Address - Street 1:9 PONDEROSA LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-4921
Practice Address - Country:US
Practice Address - Phone:386-586-6026
Practice Address - Fax:386-586-2582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
FL12210310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility