BIGFORK VALLEY VILLA, BIGFORK

provider_name-BIGFORK VALLEY VILLA

physical_address- 258 PINE TREE DRIVE

physical_city-BIGFORK

physical_state -MN

physical_zip- 56628

county_name-ITASCA

telephone- 2187431000

adminstrator/authorized_agent- NATHAN HOUGH

license_type-  Health District or Authority

swing_status-

hfid- 20243

license_number- 422815

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-34

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

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