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General NPI Number Information
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NPI Number | 1356339006
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Entity Type | Organization
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Legal Business Name | ELIM HOMES, INC.
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 409 JEFFERSON AVE SW
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City | WATERTOWN
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State | MN
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Zip | 55388-9250
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Country | US
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Telephone | 952-955-2691
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Fax | 952-955-3799
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Provider Business Mailing Address
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Address Line | 409 JEFFERSON AVE SW
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City | WATERTOWN
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State | MN
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Zip | 55388-9250
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Country | US
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Telephone | 952-955-2691
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Fax | 952-955-3799
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF REIMBURSEMENT
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Name | SEELOCHANI STADTHERR
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Credential |
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Telephone | 952-855-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 328427
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License Number State | MN
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