TWINCITIES LOYAL HOLISTIC CARE, EAGAN

provider_name-TWINCITIES LOYAL HOLISTIC CARE

physical_address- 860 ROGERS COURT

physical_city-EAGAN

physical_state -MN

physical_zip- 55123

county_name-DAKOTA

telephone- 6122276423

adminstrator/authorized_agent- ALIDEK ABDIHOSH

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 38188

license_number- 423898

medicare_number-

mn_classification- 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