BODEN SENIOR LIVING – APPLE VA, APPLE VALLEY

provider_name-BODEN SENIOR LIVING – APPLE VA

physical_address- 5399 155TH STREET WEST

physical_city-APPLE VALLEY

physical_state -MN

physical_zip- 55124

county_name-DAKOTA

telephone- 9522408845

adminstrator/authorized_agent- GARRETT BOTHUN

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 38743

license_number- 421324

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-67

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

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