
— ADULT Corporate FOSTER CARE -HCBS-Community Residential Setting (CRS)-ALL
NAME: MDM Rubicon Inc Glenbrook 2
CITY: Saint Paul
COUNTY: Washington
PHONE: (651) 779-6297
LICENSE HOLDER: MDM Rubicon 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 1068048; and providing Community Residential Setting: Foster Care services or supported living services
LICENSING AUTHORITY: Washington County Community Services
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6600 France Avenue, South Suite 350 Edina, MN 55435
149 THOMPSON AVE E STE 206 West St Paul, MN 55118