EVERBLOOM HOME HEALTH CARE, EAGAN

provider_name-EVERBLOOM HOME HEALTH CARE

physical_address- 1864 BEAR PATH TRAIL

physical_city-EAGAN

physical_state -MN

physical_zip- 55122

county_name-DAKOTA

telephone- 6512357828

adminstrator/authorized_agent- SELAMAWIT ABRAHAM

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 35547

license_number- 422330

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-4

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

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