ECUMEN LAKEVIEW COMMONS, MAPLEWOOD

provider_name-ECUMEN LAKEVIEW COMMONS

physical_address- 1200 NORTH LAKEWOOD DRIVE

physical_city-MAPLEWOOD

physical_state -MN

physical_zip- 55119

county_name-RAMSEY

telephone- 6517701111

adminstrator/authorized_agent- ASHLEY BONTJES

license_type-  Non Profit Corporation

swing_status-

hfid- 20114

license_number- 422053

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-106

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

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