ATHANOR HOUSING AND RESIDENTIA, ST. PAUL

provider_name-ATHANOR HOUSING AND RESIDENTIA

physical_address- 266 WINIFRED STREET EAST

physical_city-ST. PAUL

physical_state -MN

physical_zip- 55107

county_name-RAMSEY

telephone- 6516000701

adminstrator/authorized_agent- PHINEAS VANG

license_type-  For-Profit Corporation

swing_status-

hfid- 33679

license_number- 423545

medicare_number-

mn_classification- 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