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Organization
ELCM HOMESTEAD MANAGEMENT LLC
Active
Organization
ELCM HOMESTEAD MANAGEMENT LLC
Active
Other names
Homestead at Pillsbury Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BOETHEL (PRINCIPAL)
(972) 728-8739
Entity
Organization
Contact information
Practice address
3 HARBOR VIEW DR, SAINT ALBANS, VT 05478-4477
(802) 752-2100
(802) 752-2057
Mailing address
14241 DALLAS PKWY, SUITE 650, DALLAS, TX 75254-2936
(972) 728-8743
(214) 594-9930
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
IN PROCESS
VT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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