Organization
CLADDAGH HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LEDEBUHR (PRESIDENT)
(507) 896-2213
Entity
Organization
Contact information
Practice address
333 S 2ND ST, LA CRESCENT, MN 55947-1372
(507) 895-6447
Mailing address
10431 MOUND PRAIRIE DR, HOUSTON, MN 55943-7223
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MN
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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