EVENSONG MANOR, BROOKLYN PARK

provider_name-EVENSONG MANOR

physical_address- 6264 YUKON AVENUE NORTH

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55428

county_name-HENNEPIN

telephone- 6126446640

adminstrator/authorized_agent- DEKA ABDULLE

license_type-  For-Profit Corporation

swing_status-

hfid- 30500

license_number- 421971

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-5

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

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