CERENITY RESIDENCE ON HUMBOLDT, ST. PAUL

provider_name-CERENITY RESIDENCE ON HUMBOLDT

physical_address- 514 HUMBOLDT AVENUE

physical_city-ST. PAUL

physical_state -MN

physical_zip- 55107

county_name-RAMSEY

telephone- 6512201718

adminstrator/authorized_agent- PENELOPE (PENNI VIGGIANO

license_type-  Non Profit Corporation

swing_status-

hfid- 30462

license_number- 422381

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-115

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

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