EDEN HOMES & CARE SERVICES LLC, ELK RIVER

provider_name-EDEN HOMES & CARE SERVICES LLC

physical_address- 18741 IVANHOE ST NW

physical_city-ELK RIVER

physical_state -MN

physical_zip- 55330

county_name-SHERBURNE

telephone- 6124387514

adminstrator/authorized_agent- DELVIN MONGARE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 42027

license_number- 421488

medicare_number-

mn_classification- PROVISIONAL 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