OrganizationActive
Elcm Manor South Management LLC
NPI 1447708771 · Adult Care Home Facility · South Burlington, VT
Provider details
- NPI number
- 1447708771
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Boethel, Principal(972) 728-8739
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
20 Harbor View Rd
South Burlington, VT 05403-7850
Phone: (802) 863-7897
Fax: (802) 863-9728
Approximate (ZIP-level) locationGet directions
Mailing address
14241 Dallas Pkwy Ste 650
Dallas, TX 75254-2953
Other names (DBA / former)
- Doing business as
- Pillsbury Manor South
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.