Organization
ELLIOT CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY ANN LOURICAS LPN (OWNER)
(612) 339-2291
Entity
Organization
Contact information
Practice address
1500 ELLIOT AVE, MINNEAPOLIS, MN 55404-1618
(612) 339-2291
Mailing address
3528 EMERSON AVE S APT 7, MINNEAPOLIS, MN 55408-3936
(612) 825-9234
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
334826
MN
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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