License Number- 1070301
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Living Well Disability Services
Website-
Address- 3609 Brunswick Ave N, Crystal, MN 55422-1914
County -Hennepin
Phone-(763) 537-6764
License Status- Active
License Holder -Living Well Disability Services
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070299; 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- 7/1/2014