Mary T Inc Kentucky, Crystal

License Number- 1073053

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

Name of Program-  Mary T Inc Kentucky

Website-   http://marytinc.com/

Address- 5330 Kentucky Ave N, Crystal, MN 55428-0000

County -Hennepin

Phone-(763) 531-8237

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-  Hennepin County Human Services & Public Health Dept

Initial Effective Date-  7/1/2014