Le Sueur Residence Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterville, MN
NPI 1801938428 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801938428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- LE SUEUR RESIDENCE INC
- Practice address
- 529 Paquin St W
Waterville, MN 56096-1388 - Phone
- (507) 835-1146
- Fax
- (507) 835-4574
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Eugene L Miller
- Title
- Administrator
- Phone
- (507) 835-1146
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MN | Yes |
Addresses
Primary practice location
529 Paquin St W
Waterville, MN 56096-1388
Mailing address
204 2ND St SW
Waseca, MN 56093-2544
Phone (507) 835-1146
Other providers in Waterville, MN
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- Deborah Kay Cook
- Angela Ann Dahlberg
- Kathryn Johnson
- Kristin Mertins
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- William Allen Struve
- Sunrise Products of Waterville Minnesota Inc
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All providers in Waterville, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.