FARDI HOMES LLC, COLUMBIA HEIGHTS

provider_name-FARDI HOMES LLC

physical_address- 4915 FILLMORE STREET NE

physical_city-COLUMBIA HEIGHTS

physical_state -MN

physical_zip- 55421

county_name-ANOKA

telephone- 6128064855

adminstrator/authorized_agent- RUUN JAMA

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39984

license_number- 420955

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