provider_name-BROOKSIDE SENIOR LIVING
physical_address- 804 BENSON ROAD
physical_city-MONTEVIDEO
physical_state -MN
physical_zip- 56265
county_name-CHIPPEWA
telephone- 3202696506
adminstrator/authorized_agent- JULIANNE FRIES
license_type- Non Profit Corporation
swing_status-
hfid- 21803
license_number- 422624
medicare_number-
mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE
federal_classification-
hcbs_designation-
hosp-N
alf-68
https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
https://www.revisor.mn.gov/statutes/cite/144G.91