ENCORE AT MAHTOMEDI, MAHTOMEDI

provider_name-ENCORE AT MAHTOMEDI

physical_address- 720 MAHTOMEDI AVENUE

physical_city-MAHTOMEDI

physical_state -MN

physical_zip- 55115

county_name-WASHINGTON

telephone- 6515288442

adminstrator/authorized_agent- THOMAS OSTROM

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 28353

license_number- 421786

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-48

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

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