Cobbo Douglas, Crystal

License Number- 1068113

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  Cobbo Douglas

Website-  

Address- 4523 Colorado Ave N, Crystal, MN 55422-0000

County -Hennepin

Phone-(763) 205-5886

License Status-   Active

License Holder -Cobbo Inc

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068109; 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-  7/1/2014