AXIS HOME HEALTH CARE LLC, SPRING LAKE PARK

provider_name-AXIS HOME HEALTH CARE LLC

physical_address- 590 BALLYTYNE NORTHEAST LANE

physical_city-SPRING LAKE PARK

physical_state -MN

physical_zip- 55432

county_name-ANOKA

telephone- 7632226504

adminstrator/authorized_agent- JEWRI MERCHANT

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39903

license_number- 421258

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