
Trusted Haven Assisted Living LLC, Brooklyn C
5754 Humboldt Ave N, Brooklyn Center, MN 55430
NAME: Fourth Avenue Homes Inc
CITY: Lake Crystal
COUNTY: Blue Earth
PHONE: (507) 947-3067
LICENSE HOLDER: Fourth Avenue Homes Inc
CAPACITY: 1
LICENSE TYPE: Home and Community Based Services – Community Residential Setting
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
LICENSING AUTHORITY: Blue Earth County Human Services