Dungarvin Mississippi, Champlin

License Number- 1070814

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  Dungarvin Mississippi

Website-  

Address- 12135 Mississippi Dr, Champlin, MN 55316-0000

County -Hennepin

Phone-(651) 699-6050

License Status-   Active

License Holder -Dungarvin Minnesota LLC

Capacity-   4

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-  Hennepin County Human Services & Public Health Dept

Initial Effective Date-  7/1/2014