Organization
ELCM HOMESTEAD MANAGEMENT LLC
Active
Other names
Homestead at Pillsbury Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BOETHEL (PRINCIPAL)
(972) 728-8739
Entity
Organization
Contact information
Practice address
3 HARBOR VIEW DR, SAINT ALBANS, VT 05478-4477
(802) 752-2100
(802) 752-2057
Mailing address
14241 DALLAS PKWY, SUITE 650, DALLAS, TX 75254-2936
(972) 728-8743
(214) 594-9930
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
IN PROCESS
VT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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