Organization
ELIM HOMES, INC. D.B.A. PRO REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE DOUCETTE RPT (PHYSICAL THERAPIST)
(952) 955-2242
Entity
Organization
Contact information
Practice address
201 SHADY LANE DR, 201 SHADY LANE DRIVE, WADENA, MN 56482-3093
(218) 631-1391
Mailing address
200 LEWIS AVE S STE 210, WATERTOWN, MN 55388-4547
(952) 955-2242
(952) 955-2010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9130
MN
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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