provider_name-GOOD SAMARITAN SOCIETY WACONIA
physical_address- 433 5TH STREET WEST
physical_city-WACONIA
physical_state -MN
physical_zip- 55387
county_name-CARVER
telephone- 9524427129
adminstrator/authorized_agent- ALYSSA GIWOJNA
license_type- Non Profit Corporation
swing_status-
hfid- 30417
license_number- 421758
medicare_number-
mn_classification- ASSISTED LIVING FACILITY
federal_classification-
hcbs_designation-
hosp-N
alf-140
https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html
https://www.revisor.mn.gov/statutes/cite/144G.91