Elcm Homestead Management LLC
Custodial Care Facility, Adult Care Home in Saint Albans, VT. Organization (NPI-2).
NPI number1669929006
StatusActive
Last updated in NPPESSep 1, 2016
Details
- NPI
- 1669929006
- Entity type
- Organization (NPI-2)
- Legal business name
- Elcm Homestead Management LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2016
- Last updated
- Sep 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | In Process | VT | Yes |
Other names
- Homestead At Pillsbury Manor (Doing Business As)
Practice location
3 Harbor View DrSaint Albans, VT 05478-4477
Phone 802-752-2100 · Fax 802-752-2057
Mailing address
14241 Dallas PkwySuite 650
Dallas, TX 75254-2936
Phone 972-728-8743 · Fax 214-594-9930
Authorized official
Paul Boethel
Principal
9727288739
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