COPPER GLEN ASSISTED LIVING, MONTEVIDEO

provider_name-COPPER GLEN ASSISTED LIVING

physical_address- 801 13TH STREET NORTH

physical_city-MONTEVIDEO

physical_state -MN

physical_zip- 56265

county_name-CHIPPEWA

telephone- 3202699668

adminstrator/authorized_agent- JUSTIN HUGHES

license_type-  Non Profit Corporation

swing_status-

hfid- 30465

license_number- 422926

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-24

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

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