License Number- 1103014
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Fourth Ave Homes Lloyd House
Website-
Address- 5873 LLOYD ST NW, Rochester, MN 55901-8374
County -Olmsted
Phone-
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- 11/18/2019
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