License number: 1106822 License holder(s): Tariku Gebre Bashenu License Holder Entity Identification Number(s): 6531302 License status: Active Type of service: Adult Foster Care Initial effective date: September 23, 2020 Last renewed or updated on: September 1, 2023 Next renewal due: August 31, 2024
Licensed to serve details.
Licensed to serve
Capacity: 3 ; Age: 18 years of age and older Gender: Either Restrictions: None