CHEZ MICHAEL CARE LLC, CRYSTAL

provider_name-CHEZ MICHAEL CARE LLC

physical_address- 5748 REGENT AVENUE NORTH

physical_city-CRYSTAL

physical_state -MN

physical_zip- 55429

county_name-HENNEPIN

telephone- 6124477729

adminstrator/authorized_agent- OLUBUNMI SIMPEH

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 38202

license_number- 418995

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

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

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