SUITE LIVING SENIOR CARE OF FO, FOREST LAKE

provider_name-SUITE LIVING SENIOR CARE OF FO

physical_address- 19839 HEADWATERS BOULEVARD N

physical_city-FOREST LAKE

physical_state -MN

physical_zip- 55025

county_name-WASHINGTON

telephone- 6517702273

adminstrator/authorized_agent- AUDREY MCELWAIN

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39986

license_number- 422591

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