THE CYPRESS MANOR, ANDOVER

provider_name-THE CYPRESS MANOR

physical_address- 16770 WREN STREET NW

physical_city-ANDOVER

physical_state -MN

physical_zip- 55304

county_name-ANOKA

telephone- 7637128363

adminstrator/authorized_agent- JACOB NELSON

license_type-  For-Profit Corporation

swing_status-

hfid- 25460

license_number- 421080

medicare_number-

mn_classification- ASSISTED LIVING FACILITY

federal_classification-

hcbs_designation-

hosp-N

alf-10

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

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