ABRAHAM’S BOSOM CARE LLC, ST. PAUL

provider_name-ABRAHAM’S BOSOM CARE LLC

physical_address- 437 TOWER STREET

physical_city-ST. PAUL

physical_state -MN

physical_zip- 55119

county_name-RAMSEY

telephone- 6514289170

adminstrator/authorized_agent- ABRAHAM WOLFE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 35624

license_number- 424344

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-4

https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html

https://www.revisor.mn.gov/statutes/cite/144G.91