GUARDIAN ANGELS BY THE LAKE, ELK RIVER

provider_name-GUARDIAN ANGELS BY THE LAKE

physical_address- 13439 185TH LANE NW

physical_city-ELK RIVER

physical_state -MN

physical_zip- 55330

county_name-SHERBURNE

telephone- 7632414473

adminstrator/authorized_agent- “EDWARD “”RICK”” HUNTINGTON”

license_type-  Non Profit Corporation

swing_status-

hfid- 30818

license_number- 421631

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-100

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

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