License Number- 1119298
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Beacon Specialized Living Minnesota Inc
Website-
Address- 2046 135TH LN NW, Andover, MN 55304-7814
County -Anoka
Phone-(763) 657-7601
License Status- Active
License Holder -Beacon Specialized Living Minnesota Inc
Capacity- 4
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- Anoka County Human Services
Initial Effective Date- 6/12/2023
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