EVERGREEN ASSISTED LIVING HOME, CHANHASSEN

provider_name-EVERGREEN ASSISTED LIVING HOME

physical_address- 1215 LAKE LUCY ROAD

physical_city-CHANHASSEN

physical_state -MN

physical_zip- 55317

county_name-CARVER

telephone- 9524740353

adminstrator/authorized_agent- GRANT NERISON

license_type-  For-Profit Corporation

swing_status-

hfid- 40093

license_number- 422728

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