EDEN OAK ASSISTED LIVING, EDEN PRAIRIE

provider_name-EDEN OAK ASSISTED LIVING

physical_address- 6216 BAKER ROAD

physical_city-EDEN PRAIRIE

physical_state -MN

physical_zip- 55346

county_name-HENNEPIN

telephone- 6126440643

adminstrator/authorized_agent- SANDOL KHALAF

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 40688

license_number- 419917

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-28

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

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