ELDER HOMESTEAD, MINNETONKA

provider_name-ELDER HOMESTEAD

physical_address- 11400 4TH STREET NORTH

physical_city-MINNETONKA

physical_state -MN

physical_zip- 55343

county_name-HENNEPIN

telephone- 6124287812

adminstrator/authorized_agent- LISA KLANCKE

license_type-  Non Profit Corporation

swing_status-

hfid- 20104

license_number- 423249

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-55

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

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