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Organization

ELIM HOMES

Active
Other names
dba Pro Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFF J DAGEN RPT (PRESIDENT)
(952) 955-2242
Entity
Organization

Contact information

Practice address
3534 UNIVERSITY DR S, FARGO, ND 58104-6228
(701) 271-1817
(701) 271-1926
Mailing address
200 LEWIS AVE S, STE# 210, WATERTOWN, MN 55388-4545
(952) 955-2242
(952) 955-2010

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1475
ND

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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