BOKA HAVEN INC, NORTH BRANCH

provider_name-BOKA HAVEN INC

physical_address- 5251 386TH STREET

physical_city-NORTH BRANCH

physical_state -MN

physical_zip- 55056

county_name-CHISAGO

telephone- 6513502840

adminstrator/authorized_agent- ETTAFA BOKA

license_type-  For-Profit Corporation

swing_status-

hfid- 40189

license_number- 423108

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-40

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

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