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Mora Blaisdell II, Bloomington

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

NAME:  Mora Blaisdell II

CITY:  Bloomington

COUNTY: Hennepin

PHONE:  (952) 884-1965

LICENSE HOLDER: Mount Olivet Rolling Acres, 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 1071160; and providing Community Residential Setting: Foster Care services or supported living services

LICENSING AUTHORITY: Hennepin County Human Services & Public Health Dept

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