provider_name-GABBY CARE HOMES LLC OREGON HO
physical_address- 11917 OREGON 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- 37309
license_number- 422621
medicare_number-
mn_classification- ASSISTED LIVING FACILITY
federal_classification-
hcbs_designation-
hosp-N
alf-3
https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
https://www.revisor.mn.gov/statutes/cite/144G.91