provider_name-AUTUMN GRACE I
physical_address- 118 RAVEN COURT
physical_city-MANKATO
physical_state -MN
physical_zip- 56001
county_name-BLUE EARTH
telephone- 5073880640
adminstrator/authorized_agent- KRISTIN ELKJER
license_type- For-Profit Limited Liability Company
swing_status-
hfid- 30302
license_number- 421627
medicare_number-
mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE
federal_classification-
hcbs_designation-
hosp-N
alf-20
https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
https://www.revisor.mn.gov/statutes/cite/144G.91