MAINSTREET LODGE, MINNEAPOLIS

provider_name-MAINSTREET LODGE

physical_address- 909 MAIN STREET NE

physical_city-MINNEAPOLIS

physical_state -MN

physical_zip- 55413

county_name-HENNEPIN

telephone- 6123622450

adminstrator/authorized_agent- STEPHANIE CAPELLE

license_type-  Non Profit Corporation

swing_status-

hfid- 20105

license_number- 421391

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-51

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

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