Individual provider · Type 1 NPI
Wanda Housen
Adult Care Home Facility · St. Cloud, MN
NPI number
1154551141
Active
Practice location
1112 14th Ave SE
St. Cloud, MN 56304-1742
Fax (320) 259-7837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1034669-3-AFC (MN) |
Adult Care Home Facility: 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.
Another provider at this address
Other adult care home facility providers in St. Cloud
About NPI 1154551141
Wanda Housen's National Provider Identifier is 1154551141, issued on Jul 23, 2009. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 23, 2009.