BETHEL HAVEN CARE, NORTH BRANCH

provider_name-BETHEL HAVEN CARE

physical_address- 31274 JULLIARD STREET NE

physical_city-NORTH BRANCH

physical_state -MN

physical_zip- 55056

county_name-CHISAGO

telephone- 6516747433

adminstrator/authorized_agent- ETTAFA BOKA

license_type-  For-Profit Corporation

swing_status-

hfid- 30796

license_number- 424381

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-11

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

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