CRESCENT GROUP HOME LLC, NEW BRIGHTON

provider_name-CRESCENT GROUP HOME LLC

physical_address- 2566 SUNBOW LANE

physical_city-NEW BRIGHTON

physical_state -MN

physical_zip- 55112

county_name-RAMSEY

telephone- 6513488071

adminstrator/authorized_agent- KAWSAR JAMA

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 36931

license_number- 421781

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