WILDWOOD GROVE, LEROY

provider_name-WILDWOOD GROVE

physical_address- 410 EAST MAIN STREET

physical_city-LEROY

physical_state -MN

physical_zip- 55951

county_name-MOWER

telephone- 5072021381

adminstrator/authorized_agent- DIANE WHALEN

license_type-  Non Profit Corporation

swing_status-

hfid- 30710

license_number- 423256

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-43

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

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