JAYNE HEALTHCARE LLC, BROOKLYN PARK

provider_name-JAYNE HEALTHCARE LLC

physical_address- 7019 DALLAS ROAD

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55430

county_name-HENNEPIN

telephone- 7637426793

adminstrator/authorized_agent- JOHN IBE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 40998

license_number- 418261

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