Individual provider · Type 1 NPI
Amanda Sue Moen
Adult Care Home Facility · Rice, MN
NPI number
1437700499
Active
Practice location
700 105th St NW
Rice, MN 56367-8656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1100892 (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.
About NPI 1437700499
Amanda Sue Moen's National Provider Identifier is 1437700499, issued on Sep 21, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Rice, MN. The record was last updated on Sep 21, 2019.