AMIRA CHOICE CHAMPLIN, CHAMPLIN

provider_name-AMIRA CHOICE CHAMPLIN

physical_address- 119 EAST HAYDEN LAKE ROAD

physical_city-CHAMPLIN

physical_state -MN

physical_zip- 55316

county_name-HENNEPIN

telephone- 7633346422

adminstrator/authorized_agent- BRENDA JOHNSON

license_type-  For-Profit Corporation

swing_status-

hfid- 30284

license_number- 423888

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-138

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

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