NAME: Dungarvin Banaher
CITY: Crystal
COUNTY: Hennepin
PHONE: (763) 545-0114
LICENSE HOLDER: Dungarvin Minnesota LLC
CAPACITY: 4
LICENSE TYPE: Home and Community Based Services – Community Residential Setting
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 Other: Alternate Overnight Supervision Technology
LICENSING AUTHORITY: Hennepin County Human Services & Public Health Dept