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Fourth Avenue Homes Inc, Clara City

— ADULT Corporate FOSTER CARE -HCBS-Community Residential Setting (CRS)-ALL

NAME:  Fourth Avenue Homes Inc

CITY:  Clara City

COUNTY: Chippewa

PHONE:  (320) 847-2738

LICENSE HOLDER: Fourth Avenue Homes Inc

CAPACITY: 3

LICENSE TYPE: Home and Community Based Services – Community Residential Setting

TYPE OF LICENSE: This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068742; and providing Community Residential Setting: Foster Care services or supported living services

LICENSING AUTHORITY: Chippewa County Family Services

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