EVERCARE LLC, LAKEVILLE

provider_name-EVERCARE LLC

physical_address- 20430 GATEWAY DR

physical_city-LAKEVILLE

physical_state -MN

physical_zip- 55044

county_name-DAKOTA

telephone- 6513541196

adminstrator/authorized_agent- ABDURAHMAN ABDURAHMAN

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 42128

license_number- 424644

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