PERSONAL CARE SENIOR LIVING LL, ANDOVER

provider_name-PERSONAL CARE SENIOR LIVING LL

physical_address- 14209 INCA STREET NW

physical_city-ANDOVER

physical_state -MN

physical_zip- 55304

county_name-ANOKA

telephone- 7632008081

adminstrator/authorized_agent- KURT HARING

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39312

license_number- 423041

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-32

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

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