NOBLE RESIDENTIAL LIVING, SHAKOPEE

provider_name-NOBLE RESIDENTIAL LIVING

physical_address- 179 POTTOK LANE

physical_city-SHAKOPEE

physical_state -MN

physical_zip- 55379

county_name-SCOTT

telephone- 6127026745

adminstrator/authorized_agent- AYAN JIGRE

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 38348

license_number- 424691

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