PRYOR’S COMFORT ASSISTED, CHAMPLIN

provider_name-PRYOR’S COMFORT ASSISTED

physical_address- 11625 COLORADO AVE N

physical_city-CHAMPLIN

physical_state -MN

physical_zip- 55316

county_name-HENNEPIN

telephone- 7633707624

adminstrator/authorized_agent- LAQUITA PRYOR

license_type-  LIMITED LIABILITY COMPANY

swing_status-

hfid- 42203

license_number- 422880

medicare_number-

mn_classification- PROVISIONAL 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