ARBOR LAKES SENIOR LIVING LLC, MAPLE GROVE

provider_name-ARBOR LAKES SENIOR LIVING LLC

physical_address- 12001 80TH AVENUE NORTH

physical_city-MAPLE GROVE

physical_state -MN

physical_zip- 55369

county_name-HENNEPIN

telephone- 6514926535

adminstrator/authorized_agent- KELLY MYERS

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30754

license_number- 424128

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-185

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

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