GOODWILL FOUNDATION INC, BROOKLYN PARK

provider_name-GOODWILL FOUNDATION INC

physical_address- 6257 RHODE ISLAND AVENUE NORTH

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55428

county_name-HENNEPIN

telephone- 7013578612

adminstrator/authorized_agent- MINNIE TARWOE

license_type-  NONPROFIT CORPORATION

swing_status-

hfid- 40046

license_number- 412722

medicare_number-

mn_classification- PROVISIONAL 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