HAVENWOOD OF MAPLE GROVE, MAPLE GROVE

provider_name-HAVENWOOD OF MAPLE GROVE

physical_address- 18695 73RD AVENUE NORTH

physical_city-MAPLE GROVE

physical_state -MN

physical_zip- 55311

county_name-HENNEPIN

telephone- 7633638640

adminstrator/authorized_agent- LAURA SIMS

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 37128

license_number- 423960

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-180

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

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