BOULDER ESTATES, MARSHALL

provider_name-BOULDER ESTATES

physical_address- 601 VILLAGE DRIVE

physical_city-MARSHALL

physical_state -MN

physical_zip- 56258

county_name-LYON

telephone- 5075372312

adminstrator/authorized_agent- JIM KNUDSON

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 20507

license_number- 424161

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-140

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

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