NORTHERN LAKES SENIOR LIVING, BAXTER

provider_name-NORTHERN LAKES SENIOR LIVING

physical_address- 8186 EXCELSIOR ROAD

physical_city-BAXTER

physical_state -MN

physical_zip- 56425

county_name-CROW WING

telephone- 2184542121

adminstrator/authorized_agent- BRENDA JOHNSON

license_type-  For-Profit Corporation

swing_status-

hfid- 31987

license_number- 424399

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-85

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

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