NAME: Fourth Avenue Homes Inc
CITY: Mankato
COUNTY: Blue Earth
PHONE: (507) 594-9773
LICENSE HOLDER: Fourth Avenue Homes Inc
CAPACITY: 2
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: Blue Earth County Human Services