DESTINY HOMECARE SERVICES INC, BLOOMINGTON

provider_name-DESTINY HOMECARE SERVICES INC

physical_address- 9318 CHICAGO AVENUE SOUTH

physical_city-BLOOMINGTON

physical_state -MN

physical_zip- 55420

county_name-HENNEPIN

telephone- 9528887172

adminstrator/authorized_agent- CHRISTIAN UDEH

license_type-  For-Profit Corporation

swing_status-

hfid- 39459

license_number- 423481

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