HAVENWOOD CARE LLC, BURNSVILLE

provider_name-HAVENWOOD CARE LLC

physical_address- 11704 CARTIER AVE S

physical_city-BURNSVILLE

physical_state -MN

physical_zip- 55337

county_name-DAKOTA

telephone- 6515007790

adminstrator/authorized_agent- EYOBE WOLDEMARIAM

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 42396

license_number- 422773

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