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Mary T. Inc. Andover Oaks Site, Andover

License Number- 1073049

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

Name of Program-  Mary T. Inc. Andover Oaks Site

Website-   http://marytinc.com/

Address- 13635 GLADIOLA ST NW, Andover, MN 55304-3848

County -Anoka

Phone-(763) 862-9719

License Status-   Active

License Holder -Mary T Inc.

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073042; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Anoka County Human Services

Initial Effective Date-  7/1/2014

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