CREEKSIDE COTTAGE ASSISTED LIV, COON RAPIDS

provider_name-CREEKSIDE COTTAGE ASSISTED LIV

physical_address- 1190 117TH AVENUE NW

physical_city-COON RAPIDS

physical_state -MN

physical_zip- 55448

county_name-ANOKA

telephone- 7637546927

adminstrator/authorized_agent- WENDY RISCHMILLER

license_type-  For-Profit Corporation

swing_status-

hfid- 24666

license_number- 423596

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

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