DR THOMAS H JOHNSON HWS, MINNEAPOLIS

provider_name-DR THOMAS H JOHNSON HWS

physical_address- 2221 WEST 55TH STREET

physical_city-MINNEAPOLIS

physical_state -MN

physical_zip- 55419

county_name-HENNEPIN

telephone- 6122858743

adminstrator/authorized_agent- HEATHER BALENGER

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 23749

license_number- 422428

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-8

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

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