MICHAELA RESIDENTIAL CARE LLC, BROOKLYN PARK

provider_name-MICHAELA RESIDENTIAL CARE LLC

physical_address- 312 74TH AVE N

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55444

county_name-HENNEPIN

telephone- 9526881026

adminstrator/authorized_agent- ESTHER FARES

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 41375

license_number- 424388

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