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Amanda Sue Moen
Adult Care Home Facility in Rice, Minnesota
NPI 1437700499

Amanda Sue Moen is an Adult Care Home Facility based in Rice, MN and is specialized in Adult Care Home. Amanda Sue Moen practices in Rice, MN. The NPI Number for Amanda Sue Moen is 1437700499 and holds a License No. 1100892 (Minnesota).

The current practice location address for Amanda Sue Moen is 700 105Th St Nw, Rice, MN and can be reached out via phone at 320-980-2630.

Location: 700 105Th St Nw, Rice, MN, 56367-8656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437700499
Provider Name
Amanda Sue Moen
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 105Th St Nw, Rice, MN, 56367-8656
Phone Number
320-980-2630
Fax Number
Provider Enumeration Date
09/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 105Th St Nw
City
Rice
State
Minnesota
Zip
56367-8656
Phone Number
320-980-2630
Fax Number
person
Provider Business Mailing Address Details
Address
700 105Th St Nw
City
Rice
State
Minnesota
Zip
56367-8656
Phone Number
320-980-2630
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1100892 (Minnesota)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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