License Number- 1092596
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Dungarvin Pine
Website-
Address- 6571 PINE ST, North Branch, MN 55056-5110
County -Chisago
Phone-(651) 237-0363
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- Chisago County Health & Human Services
Initial Effective Date- 10/19/2017