NOBLE CREST HOME & SERVICES IN, BROOKLYN PARK

provider_name-NOBLE CREST HOME & SERVICES IN

physical_address- 5912 XERXES AVENUE NORTH

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55430

county_name-HENNEPIN

telephone- 3204448009

adminstrator/authorized_agent- ZOEGAR EVANS

license_type-  CORPORATION

swing_status-

hfid- 41175

license_number- 418339

medicare_number-

mn_classification- PROVISIONAL ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-3

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

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