EVERGREEN CARE HOMES LLC, SAVAGE

provider_name-EVERGREEN CARE HOMES LLC

physical_address- 14359 UTICA AVE

physical_city-SAVAGE

physical_state -MN

physical_zip- 55378

county_name-SCOTT

telephone- 7639137558

adminstrator/authorized_agent- ABSHIR QANYARE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 42126

license_number- 423255

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