ANTIQUE GARDENS SENIOR CARE, BROOKLYN PARK

provider_name-ANTIQUE GARDENS SENIOR CARE

physical_address- 6617 76TH AVE N

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55428

county_name-HENNEPIN

telephone- 6122963566

adminstrator/authorized_agent- JAWAHIR AHMED

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 42252

license_number- 421835

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