REVIVE CARE SERVICES INC, MINNEAPOLIS

provider_name-REVIVE CARE SERVICES INC

physical_address- 5111 IRVING AVENUE NORTH

physical_city-MINNEAPOLIS

physical_state -MN

physical_zip- 55430

county_name-HENNEPIN

telephone- 7633104079

adminstrator/authorized_agent- WARSAME WARSAME

license_type-  For-Profit Corporation

swing_status-

hfid- 35991

license_number- 422314

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-4

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

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