EDGEWOOD BAXTER LLC, BAXTER

provider_name-EDGEWOOD BAXTER LLC

physical_address- 14211 FIREWOOD DRIVE

physical_city-BAXTER

physical_state -MN

physical_zip- 56425

county_name-CROW WING

telephone- 2188284770

adminstrator/authorized_agent- KATIE MOE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30293

license_number- 421967

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-85

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

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