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Fourth Avenue Homes Inc, North Mankato

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

NAME:  Fourth Avenue Homes Inc

CITY:  North Mankato

COUNTY: Nicollet

PHONE:  (507) 720-6155

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: Nicollet County Human Services

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