AUTUMN GLEN SENIOR LIVING, COON RAPIDS

provider_name-AUTUMN GLEN SENIOR LIVING

physical_address- 3715 COON RAPIDS BOULEVARD NW

physical_city-COON RAPIDS

physical_state -MN

physical_zip- 55433

county_name-ANOKA

telephone- 7637724492

adminstrator/authorized_agent- RANDALL BENSON

license_type-  PARTNERSHIP

swing_status-

hfid- 31129

license_number- 420684

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-115

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

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