License Number- 1067673
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Companion Housing: Park Road
Website-
Address- 1568 Park Road, Bloomington, MN 55425-0000
County -Hennepin
Phone-(952) 854-2436
License Status- Active
License Holder -Companion Housing Program Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1067662; 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