ASSISTED CO LLC, ST PAUL

provider_name-ASSISTED CO LLC

physical_address- 223 WINIFRED STREET

physical_city-ST PAUL

physical_state -MN

physical_zip- 55107

county_name-RAMSEY

telephone- 6128768923

adminstrator/authorized_agent- MOHAMUD JAMA

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41079

license_number- 420730

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