provider_name-ANGEL’S HEALTH & HOME CARE SER
physical_address- 4213 63RD AVENUE NORTH
physical_city-BROOKLYN CENTER
physical_state -MN
physical_zip- 55429
county_name-HENNEPIN
telephone- 7632705771
adminstrator/authorized_agent- KOU FARNGALO
license_type- For-Profit Corporation
swing_status-
hfid- 35639
license_number- 421897
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