LIFECARE ASSISTED LIVING LLC, BURNSVILLE

provider_name-LIFECARE ASSISTED LIVING LLC

physical_address- 12512 SKYLINE DRIVE

physical_city-BURNSVILLE

physical_state -MN

physical_zip- 55337

county_name-DAKOTA

telephone- 6512358272

adminstrator/authorized_agent- TIGIST FIYISA

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39537

license_number- 424169

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