GRACE HAVEN ASSISTED LIVING, MADISON

provider_name-GRACE HAVEN ASSISTED LIVING

physical_address- 301 3RD STREET EAST

physical_city-MADISON

physical_state -MN

physical_zip- 56256

county_name-LAC QUI PARLE

telephone- 3205987557

adminstrator/authorized_agent- DEBORAH WERNER

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30808

license_number- 423941

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-10

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

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