ANGEL LIVING CARE INC, BROOKLYN PARK

provider_name-ANGEL LIVING CARE INC

physical_address- 9101 KENTUCKY AVENUE NORTH

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55445

county_name-HENNEPIN

telephone- 6518008021

adminstrator/authorized_agent- ABDULLAHI BASHIR

license_type-  CORPORATION

swing_status-

hfid- 40510

license_number- 418324

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