AMIA ASSISTED LIVING LLC, BROOKLYN PARK

provider_name-AMIA ASSISTED LIVING LLC

physical_address- 7201 HARTKOPF LANE

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55428

county_name-HENNEPIN

telephone- 7639519646

adminstrator/authorized_agent- EVELYN JARBAH

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41248

license_number- 419877

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