EAGLECREST, ROSEVILLE

provider_name-EAGLECREST

physical_address- 2955 LINCOLN DRIVE

physical_city-ROSEVILLE

physical_state -MN

physical_zip- 55113

county_name-RAMSEY

telephone- 6516283000

adminstrator/authorized_agent- MARK PEDERSON

license_type-  Non Profit Limited Liability Company

swing_status-

hfid- 24032

license_number- 423955

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-136

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

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