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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA SUE MOEN

Active Sole Proprietor

AMANDA SUE MOEN is a Assisted Living Facility healthcare provider located in RICE, Minnesota. NPI 1437700499 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · RICE, MN

Registration Details

NPI Number
1437700499
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2019 (6.8783887851255 yrs)
Last Updated
Sep 21, 2019
License
1100892 (MN)
Sole Proprietor
Yes

Practice Information

Address
700 105TH ST NW
RICE, MN, 563678656
Browse MN providers · Browse ZIP 56367
Phone
3209802630
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.