EVERGREEN KNOLL, CLOQUET

provider_name-EVERGREEN KNOLL

physical_address- 1309 14TH STREET

physical_city-CLOQUET

physical_state -MN

physical_zip- 55720

county_name-CARLTON

telephone- 2188783302

adminstrator/authorized_agent- PAUL ABZUG

license_type-  Non Profit Limited Liability Company

swing_status-

hfid- 24494

license_number- 423176

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-70

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

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