Fourth Ave Homes, Spicer

License Number- 1068744

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

Name of Program-  Fourth Ave Homes

Website-  

Address- 141 4th Ave W, Spicer, MN 56288-0000

County -Kandiyohi

Phone-(320) 796-5063

License Status-   Active

License Holder -Fourth Avenue Homes Inc

Capacity-   3

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068742; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Kandiyohi County Family Service Dept

Initial Effective Date-  7/1/2014