ELYSIAN SENIOR HOMES OF LAKE C, LAKE CITY

provider_name-ELYSIAN SENIOR HOMES OF LAKE C

physical_address- 480 WEST GRANT STREET

physical_city-LAKE CITY

physical_state -MN

physical_zip- 55041

county_name-GOODHUE

telephone- 6514488333

adminstrator/authorized_agent- LUCY BOXRUD

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 31876

license_number- 424278

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-75

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

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