NEW CREATION SOCIAL SERVICES L, ANDOVER

provider_name-NEW CREATION SOCIAL SERVICES L

physical_address- 14011 JUNIPER CIRCLE NW

physical_city-ANDOVER

physical_state -MN

physical_zip- 55304

county_name-ANOKA

telephone- 6122277065

adminstrator/authorized_agent- TEMEKA THEDFORD

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 38378

license_number- 423071

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