provider_name-ALLIANCE ASSISTED LIVING INC
physical_address- 2029 PIN OAK DRIVE
physical_city-EAGAN
physical_state -MN
physical_zip- 55122
county_name-DAKOTA
telephone- 7637427284
adminstrator/authorized_agent- FOUZI SHARIF
license_type- For-Profit Corporation
swing_status-
hfid- 36956
license_number- 422865
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