LAND OF LAKES RESIDENCE LLC, BROOKLYN PARK

provider_name-LAND OF LAKES RESIDENCE LLC

physical_address- 7826 HAMPSHIRE CIR N

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55445

county_name-HENNEPIN

telephone- 9522218515

adminstrator/authorized_agent- FARDOSA HUSSAIN

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 40884

license_number- 423113

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