BROOKDALE PLYMOUTH, PLYMOUTH

provider_name-BROOKDALE PLYMOUTH

physical_address- 15855 22ND AVENUE NORTH

physical_city-PLYMOUTH

physical_state -MN

physical_zip- 55447

county_name-HENNEPIN

telephone- 7634768200

adminstrator/authorized_agent- KATHIE BAXTER

license_type-  For-Profit Corporation

swing_status-

hfid- 30690

license_number- 420091

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-52

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

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