BRIGHT HAVEN LLC, APPLE VALLEY

provider_name-BRIGHT HAVEN LLC

physical_address- 15938 HARWELL AVE

physical_city-APPLE VALLEY

physical_state -MN

physical_zip- 55124

county_name-DAKOTA

telephone- 6124588955

adminstrator/authorized_agent- MAHAMUD MAHAMED

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 41900

license_number- 420896

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

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

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