COMMUNITY ASSISTED LIVING INC, APPLE VALLEY

provider_name-COMMUNITY ASSISTED LIVING INC

physical_address- 13628 PILOT KNOB ROAD

physical_city-APPLE VALLEY

physical_state -MN

physical_zip- 55124

county_name-DAKOTA

telephone- 9524403955

adminstrator/authorized_agent- BARBARA CEBALLOS

license_type-  For-Profit Corporation

swing_status-

hfid- 28479

license_number- 422829

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-12

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

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