# ELCM HOMESTEAD MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homestead at Pillsbury Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669929006
- **Authorized official:** MR. PAUL BOETHEL (PRINCIPAL)
- **Authorized official phone:** (972) 728-8739

## Contact information

- **Practice address:** 3 HARBOR VIEW DR, SAINT ALBANS, VT 05478-4477
- **Practice address phone:** (802) 752-2100
- **Practice address fax:** (802) 752-2057
- **Mailing address:** 14241 DALLAS PKWY, SUITE 650, DALLAS, TX 75254-2936
- **Mailing address phone:** (972) 728-8743
- **Mailing address fax:** (214) 594-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | IN PROCESS | VT | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016