CENTENNIAL VILLA, ANNANDALE

provider_name-CENTENNIAL VILLA

physical_address- 500 PARK STREET EAST

physical_city-ANNANDALE

physical_state -MN

physical_zip- 55302

county_name-WRIGHT

telephone- 3202745031

adminstrator/authorized_agent- RACHAEL MILLER

license_type-  Non Profit Corporation

swing_status-

hfid- 25919

license_number- 422055

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-29

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

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