Organization
LE SUEUR RESIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE L MILLER (ADMINISTRATOR)
(507) 835-1146
Entity
Organization
Contact information
Practice address
529 PAQUIN ST W, WATERVILLE, MN 56096-1388
(507) 835-1146
(507) 835-4574
Mailing address
204 2ND ST SW, WASECA, MN 56093-2544
(507) 835-1146
(507) 835-4574
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MN
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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