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Fourth Avenue Homes Inc, Mankato

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

NAME:  Fourth Avenue Homes Inc

CITY:  Mankato

COUNTY: Blue Earth

PHONE:  (507) 389-8912

LICENSE HOLDER: Fourth Avenue Homes Inc

CAPACITY: 4

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: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services * Certification: Adult Mental Health Certification – Site/Service Specific

LICENSING AUTHORITY: Blue Earth County Human Services

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