License Number- 1110504
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Dungarvin Minnesota LLC Zoey
Website-
Address- 5735 148TH ST N UNIT 1, Hugo, MN 55038-4510
County -Washington
Phone-(651) 528-7455
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- Washington County Community Services
Initial Effective Date- 7/1/2021