License Number- 1085127
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Fourth Avenue Homes Inc
Website-
Address- 406 7th St N, Kerkhoven, MN 56252-0000
County -Swift
Phone-(320) 264-2278
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- Swift County Human Services
Initial Effective Date- 2/22/2017