License Number- 1113347
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Dungarvin 13th
Website-
Address- 1505 SE 4TH AVE, Grand Rapids, MN 55744-4237
County -Itasca
Phone-(651) 238-1456
License Status- Active
License Holder -Dungarvin Minnesota LLC
Capacity- 2
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070806; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Itasca County Health & Human Services
Initial Effective Date- 3/1/2022