NAME: Fourth Avenue Homes Inc Goodview
CITY: Winona
COUNTY: Winona
PHONE: (507) 961-0516
LICENSE HOLDER: Fourth Avenue Homes Inc
CAPACITY: 1
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: Winona County Dept of Human Services