License Number- 1094769
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- JEC Miller Inc
Website-
Address- 9942 PORTLAND AVE S, Bloomington, MN 55420-5003
County -Hennepin
Phone-(952) 881-4855
License Status- Active
License Holder -JEC Miller Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1090632; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Hennepin County Human Services & Public Health Dept
Initial Effective Date- 7/1/2018