GOOD SAMARITAN SOCIETY BLACKDU, BLACKDUCK

provider_name-GOOD SAMARITAN SOCIETY BLACKDU

physical_address- 152 MARGARET AVENUE NW

physical_city-BLACKDUCK

physical_state -MN

physical_zip- 56630

county_name-BELTRAMI

telephone- 2188355483

adminstrator/authorized_agent- BRANDON BJERKE

license_type-  Non Profit Corporation

swing_status-

hfid- 30737

license_number- 421692

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-22

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

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