License Number- 1128024
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Fourth Avenue Homes
Website-
Address- 132 MARY CIR, North Mankato, MN 56003-1943
County -Nicollet
Phone-(320) 441-7014
License Status- Active
License Holder -Fourth Avenue Homes Inc
Capacity- 1
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- Nicollet County Human Services
Initial Effective Date- 5/19/2025