BEACON HOME HEALTH CARE LLC, MINNEAPOLIS

provider_name-BEACON HOME HEALTH CARE LLC

physical_address- 6132 12TH AVE S

physical_city-MINNEAPOLIS

physical_state -MN

physical_zip- 55417

county_name-HENNEPIN

telephone- 7632577392

adminstrator/authorized_agent- FOWSIYO HASSAN

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41668

license_number- 421285

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