WELL CARE HEALTH SERVICES, BROOKLYN PARK

provider_name-WELL CARE HEALTH SERVICES

physical_address- 3600 73RD AVENUE

physical_city-BROOKLYN PARK

physical_state -MN

physical_zip- 55429

county_name-HENNEPIN

telephone- 6122727587

adminstrator/authorized_agent- SOLOMON KOWO

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 39564

license_number- 423465

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