ACACIA GROVE ASSISTED LIVING L, BURNSVILLE

provider_name-ACACIA GROVE ASSISTED LIVING L

physical_address- 13416 PENN AVENUE SOUTH

physical_city-BURNSVILLE

physical_state -MN

physical_zip- 55337

county_name-DAKOTA

telephone- 9522281187

adminstrator/authorized_agent- NASIIB MOHAMOUD

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41034

license_number- 419321

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

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

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