AMAZING GRACE CARE LLC, APPLE VALLEY

provider_name-AMAZING GRACE CARE LLC

physical_address- 7988 HALLMARK WAY

physical_city-APPLE VALLEY

physical_state -MN

physical_zip- 55124

county_name-DAKOTA

telephone- 9522012263

adminstrator/authorized_agent- ABABA BEYENE

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41490

license_number- 420321

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