GABBY CARE HOMES LLC CILLA HOU, CHAMPLIN

provider_name-GABBY CARE HOMES LLC CILLA HOU

physical_address- 1500 PENNSYLVANIA AVENUE NORTH

physical_city-CHAMPLIN

physical_state -MN

physical_zip- 55316

county_name-HENNEPIN

telephone- 6124813138

adminstrator/authorized_agent- SAMUEL OBWAYA

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 35601

license_number- 422618

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-8

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

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