License Number- 1114728
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Fourth Ave Homes Inc
Website-
Address- 5375 RIDGEWAY RD NW, Rochester, MN 55901-4841
County -Olmsted
Phone-(320) 231-2738
License Status- Active
License Holder -Fourth Avenue Homes Inc
Capacity- 2
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068742; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Olmsted County Community Services
Initial Effective Date- 5/30/2022