PRAIRIE PINES COMMUNITY, FOSSTON

provider_name-PRAIRIE PINES COMMUNITY

physical_address- 903 PRAIRIE PINES DRIVE

physical_city-FOSSTON

physical_state -MN

physical_zip- 56542

county_name-POLK

telephone- 2184357630

adminstrator/authorized_agent- RUBY MCCOY

license_type-  Non Profit Corporation

swing_status-

hfid- 30394

license_number- 421644

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-25

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

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