# CLADDAGH HOUSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043486210
- **Authorized official:** MR. LARRY LEDEBUHR (PRESIDENT)
- **Authorized official phone:** (507) 896-2213

## Contact information

- **Practice address:** 333 S 2ND ST, LA CRESCENT, MN 55947-1372
- **Practice address phone:** (507) 895-6447
- **Mailing address:** 10431 MOUND PRAIRIE DR, HOUSTON, MN 55943-7223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | MN | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 05/07/2008