Fourth Avenue Homes Inc, Kerkhoven

License Number- 1068750

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

Name of Program-  Fourth Avenue Homes Inc

Website-  

Address- 5015 130th Ave, Kerkhoven, MN 56252-0000

County -Chippewa

Phone-(320) 264-0174

License Status-   Active

License Holder -Fourth Avenue Homes Inc

Capacity-   4

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-  Chippewa County Family Services

Initial Effective Date-  7/1/2014