License Number- 1104747
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Dungarvin Cleveland
Website-
Address- 17619 CLEVELAND ST NW, Elk River, MN 55330-6223
County -Sherburne
Phone-
License Status- Active
License Holder -Dungarvin Minnesota LLC
Capacity- 1
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- Sherburne County Health and Human Services
Initial Effective Date- 5/1/2020