LOVELY CARE LIVING LLC, MINNEAPOLIS

provider_name-LOVELY CARE LIVING LLC

physical_address- 5913 HALIFAX AVE N

physical_city-MINNEAPOLIS

physical_state -MN

physical_zip- 55429

county_name-HENNEPIN

telephone- 2159091946

adminstrator/authorized_agent- MBALLU SANNOH

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 42016

license_number- 422180

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