Le Sueur Residence INC

NPI #1801938428 in Waterville, Minnesota

Provider Information

NPI Number: 1801938428
Entity Type: Organization
Organization Name: Le Sueur Residence INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 529 PAQUIN ST W
City: Waterville
State: Minnesota
ZIP Code: 56096-1388
Phone: (507) 835-1146

Authorized Official

Name: EUGENE L MILLER
Title: ADMINISTRATOR
Phone: (507) 835-1146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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