EVERBRIGHT PLACE LLC, SHAKOPEE

provider_name-EVERBRIGHT PLACE LLC

physical_address- 1940 HAZEN ST

physical_city-SHAKOPEE

physical_state -MN

physical_zip- 55379

county_name-SCOTT

telephone- 6124498813

adminstrator/authorized_agent- ABDI KOFIRO

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 41811

license_number- 420876

medicare_number-

mn_classification- PROVISIONAL 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