CENTENNIAL VILLA ASSISTED LIVI, ANNANDALE

provider_name-CENTENNIAL VILLA ASSISTED LIVI

physical_address- 600 PARK STREET EAST

physical_city-ANNANDALE

physical_state -MN

physical_zip- 55302

county_name-WRIGHT

telephone- 3202743737

adminstrator/authorized_agent- ELSA NISKA

license_type-  Non Profit Corporation

swing_status-

hfid- 20074

license_number- 422207

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-120

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

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