NORTHWOODS VILLA INC, GRAND RAPIDS

provider_name-NORTHWOODS VILLA INC

physical_address- 1200 GUNN ROAD

physical_city-GRAND RAPIDS

physical_state -MN

physical_zip- 55744

county_name-ITASCA

telephone- 2183271919

adminstrator/authorized_agent- HILLARY ALTENHOFEN

license_type-  For-Profit Corporation

swing_status-

hfid- 34570

license_number- 424389

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-6

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

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