License Number- 1114368
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Beacon Specialized Living 62nd Ave
Website-
Address- 7900 62ND AVE N, Brooklyn Park, MN 55428-2776
County -Hennepin
Phone-(763) 292-5389
License Status- Active
License Holder -Beacon Specialized Living Minnesota Inc
Capacity- 2
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070450; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Hennepin County Human Services & Public Health Dept
Initial Effective Date- 6/1/2022