Amanda Sue Moen

NPI #1437700499 in Rice, Minnesota

Provider Information

NPI Number
1437700499
Entity Type
Individual
Name
Amanda Sue Moen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Sep 21, 2019
Last Updated
Sep 21, 2019

Practice Location

Address
700 105TH ST NW
City
Rice
ZIP Code
56367-8656
Phone
(320) 980-2630

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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