Organization
ELIM HOMES, INC.
Active
Other names
Elim Rehab and Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER PAUL MICKELSON (MANAGER)
(952) 855-5017
Entity
Organization
Contact information
Practice address
409 JEFFERSON AVE SW, WATERTOWN, MN 55388-9250
(952) 955-2691
(952) 955-3799
Mailing address
409 JEFFERSON AVE SW, WATERTOWN, MN 55388-9250
(952) 955-2691
(952) 955-3799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
328427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328427
MINNESOTA STATE LICENSE
MN
05
—
816740100
—
MN
Enumeration date
10/07/2005
Last updated
07/23/2026
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