WANDA HOUSEN
NPI 1154551141
Custodial Care Facility - Adult Care Home in Saint Cloud, MN
- Individual
- Female
- Custodial Care Facility
- Adult Care Home
About WANDA HOUSEN
This page provides the complete NPI Profile along with additional information for Wanda Housen, a provider established in Saint Cloud, Minnesota with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1154551141 assigned on July 2009. The practitioner's primary taxonomy code is 311ZA0620X with license number 1034669-3-AFC (MN). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1154551141 Verify this NPI
- Provider Name
- WANDA HOUSEN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1112 14TH AVE SE SAINT CLOUD, MN 56304
- Location Phone
- (320) 229-8758
- Location Fax
- (320) 259-7837
- Mailing Address
- 1112 14TH AVE SE SAINT CLOUD, MN 56304
- Mailing Phone
- (320) 229-8758
- Mailing Fax
- (320) 259-7837
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-23-2009
- Last Update Date
- 07-23-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 1034669-3-AFC
- License State
- MN
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154551141, enumerated as an "individual" on July 23, 2009.
The provider is located at 1112 14TH AVE SE SAINT CLOUD, MN 56304 and the phone number is (320) 229-8758.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
