OPTIMAL HOME OF MAPLE GROVE LL, MAPLE GROVE

provider_name-OPTIMAL HOME OF MAPLE GROVE LL

physical_address- 9261 FORESTVIEW LANE NORTH

physical_city-MAPLE GROVE

physical_state -MN

physical_zip- 55369

county_name-HENNEPIN

telephone- 3202825237

adminstrator/authorized_agent- FATIMA MOHAMUD

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39710

license_number- 420358

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