MAJESTIC PINES, GRAND RAPIDS

provider_name-MAJESTIC PINES

physical_address- 1614 GOLF COURSE ROAD

physical_city-GRAND RAPIDS

physical_state -MN

physical_zip- 55744

county_name-ITASCA

telephone- 2189997776

adminstrator/authorized_agent- LINDSEY WALD

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30986

license_number- 422232

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-101

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

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