Organization
ELM CREEK HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON WILLIAMS (EXECUTIVE)
(612) 305-8260
Entity
Organization
Contact information
Practice address
1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416-5369
(612) 305-8260
(763) 207-1377
Mailing address
1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416-5369
(612) 305-8260
(763) 207-1377
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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