AMANDA SUE MOEN

RICE, MN
NPI1437700499
Former NameAMANDA SUE BECKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility Adult Care Home
(Licence: MN  1100892)
Enumeration Date2019-09-21
Last Update Date2019-09-21
Business Address
AMANDA SUE MOEN
700 105TH ST NW
RICE, MN 56367-8656
Phone number: 320-980-2630
Mailing Address
AMANDA SUE MOEN
700 105TH ST NW
RICE, MN 56367-8656
Phone number: 320-980-2630