H AND S RESIDENCE LLC, BROOKLYN PARK

provider_name-H AND S RESIDENCE LLC

physical_address- 532 79TH AVENUE NORTH

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55444

county_name-HENNEPIN

telephone- 7633062336

adminstrator/authorized_agent- YASMIN ABDI

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 36081

license_number- 424332

medicare_number-

mn_classification- 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