EVANSVILLE SENIOR LIVING, EVANSVILLE

provider_name-EVANSVILLE SENIOR LIVING

physical_address- 651 STATE STREET NW

physical_city-EVANSVILLE

physical_state -MN

physical_zip- 56326

county_name-DOUGLAS

telephone- 2189482346

adminstrator/authorized_agent- BRANDON BORGSTROM

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30540

license_number- 422551

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-16

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

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