Fourth Avenue Homes Inc, Rochester

License Number- 1098081

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

Name of Program-  Fourth Avenue Homes Inc

Website-  

Address- 3767 MCINTOSH DR NW, Rochester, MN 55901-5936

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-  3/15/2018