Organization
ELIM HOMES, INC
Active
Other names
PRO REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF DAGEN RPT (OFFICE MANAGER)
(952) 955-2242
Entity
Organization
Contact information
Practice address
400 EVANS AVE NW, ELK RIVER, MN 55330-2604
(952) 955-2242
(952) 955-2010
Mailing address
200 LEWIS AVE S, SUITE 210, WATERTOWN, MN 55388-4545
(952) 955-2242
(952) 955-2010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
101944
MN
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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