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NPI Code Detail

MEDICARE: ELIM HOMES, INC.

MEDICARE: ELIM HOMES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist246546MN
2225X00000XOccupational Therapist246546MN
3225100000XPhysical Therapist246546MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205824968
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELIM HOMES, INC.
Provider Business Mailing Address
First Line : 200 LEWIS AVE S
Second Line : SUITE 210
City : WATERTOWN
State : MN
Zip : 55388-4545
Country : US
Telephone Number : 952-955-2242
Fax Number : 952-955-2010
Provider Business Practice Location Address
First Line : 200 LEWIS AVE S
Second Line : SUITE 210
City : WATERTOWN
State : MN
Zip : 55388-4545
Country : US
Telephone Number : 952-955-2242
Fax Number : 952-955-2010
Authorized Official
Title or Position : SENIOR DIRECTOR OF REIMBURSEMENT
Name : SEELOCHANI STADTHERR
Credential :
Telephone Number : 952-855-5041
Provider Enumeration Date : 10/07/2005
Last Update Date : 10/12/2023

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Directions to “ELIM HOMES, INC. ” Practice Location

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