WANDA HOUSEN

SAINT CLOUD, MN
NPI1154551141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: MN  1034669-3-AFC)
Enumeration Date2009-07-23
Last Update Date2009-07-23
Business Address
-- WANDA HOUSEN
1112 14TH AVE SE
SAINT CLOUD, MN 56304-1742
Phone number: 320-229-8758
Mailing Address
-- WANDA HOUSEN
1112 14TH AVE SE
SAINT CLOUD, MN 56304-1742
Phone number: 320-229-8758
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