Organization
ELCM MANOR SOUTH MANAGEMENT LLC
Active
Other names
Pillsbury Manor South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BOETHEL (PRINCIPAL)
(972) 728-8739
Entity
Organization
Contact information
Practice address
20 HARBOR VIEW RD, SOUTH BURLINGTON, VT 05403-7850
(802) 863-7897
(802) 863-9728
Mailing address
14241 DALLAS PKWY STE 650, DALLAS, TX 75254-2953
(214) 417-4588
(214) 594-9930
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
VT
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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