License number: 21768
License type: LIMITED LIABILITY COMPANY
Administrator: MS. OLGA SHEVELEVA
Capacity:
Type of license:
Type of Services:
License Holder Lives on site:
Licensing Authority:
County: HENNEPIN
NH_BEDS:
BCH_BEDS:
HCP_TYPE:
SNF_BEDS:
SNFNF_BEDS:
NF2_BEDS: