Papalee,
Sorry for the delays in getting back to you but it took some time to answer some of the questions I had about your 1991 E250 frontend. The first thing I looked at was whether the 2008 and up complete E350 front axle assembly, with the much larger disc brake rotors and calipers included, using an all brand new conversion takeout from a 2018 or 19, would fit into your van.
One of these would also have ball joints, which makes the caster and camber adjustments possible and fairly easy to do. After I resolved my wandering 92 E250 problem, I went ahead and had this frontend upgrade done in 2016, and did the same alignment correction to the caster on the new front end.
So I a new 2016 E350 frontend with less than 100 miles on it in my 92 E-250, with far superior brakes up front as the icing on the cake. A huge improvement that was frankly inexpensive.
This would have been a wonderful upgrade for yours, at a low cost for the complete setup including professional installation, here in Portland.
Unfortunately the frame rails on the 1980 thru 1991 E-series vans are narrower, and so that rules out this upgrade.
In parallel with that investigation I also looked into what parts were available to add the ability to increae your positive caster given there is no adjustment provision on your kingpin frontend. I found a aftermarket bushing that is installed in the bottom of the radius arms under the axles, an eccentric bushing which then allows the positive caster to then be increased up to 4 degrees.
The good news in this is that if caster is the primary issue with your wandering E-250 there is a solution that is inexpensive.
Have you had any luck getting the alignment readings from your shop ? If not that is something we could do on a level surface with some tools I have. It's not difficult to measure your toe, camber and caster yourself.
If we did that, or a shop did it, at least we'd have a baseline of where the frontend alignment is now. Increasing the positive caster often results in improved forward stability, which means the wheels want to track straight and not wander or follow ruts. The steering wheel will return to center when you let go of it after a turn, which is part of the improved stabilty we really desire.
I have proven all of this to myself without any doubt on my van. I could not believe the improvement I saw, it was the first time I had been able to completely relax driving my van at freeway speeds, passing and being passed, and in wind situations in general. I increased my positive caster using aftermarket adjustable camber/caster bushings I personally installed in my top ball joints in place of the OEM bushings.
So exploring this possibilty may benefit you as well, that of increasing your positive caster.
Here is the post I read when I began searching for solutions to the wandering, like you are. The poster is a fellow named Harvard who had the same problems with his E-450 RV. This is well worth reading if you haven't already:
E350/E450 Handling Problems are caused by too little + CASTER
Well, this is a long reply to you, but perhaps it will be of some help. If you'd like we can get together for coffee sometime and talk in person. I'm in SE Portland and I think you are in the metro area as well.
Regards, Paga