SHILOH ASSISTED LIVING, PEQUOT LAKES

provider_name-SHILOH ASSISTED LIVING

physical_address- 5384 COUNTRY CARE LANE

physical_city-PEQUOT LAKES

physical_state -MN

physical_zip- 56472

county_name-CROW WING

telephone- 2185687637

adminstrator/authorized_agent- MIGUEL CAMPA

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 34980

license_number- 423628

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-70

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

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