CIRCLE DRIVE MANOR ASSISTED LI, WEST CONCORD

provider_name-CIRCLE DRIVE MANOR ASSISTED LI

physical_address- 56733 STATE HIGHWAY 56 SOUTH

physical_city-WEST CONCORD

physical_state -MN

physical_zip- 55985

county_name-DODGE

telephone- 5075272424

adminstrator/authorized_agent- MELISSA CHRISTIANSON

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30326

license_number- 422425

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-10

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

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