License Number- 1071167
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- MORA Glen Lake
Website-
Address- 4826 Caribou Dr, Minnetonka, MN 55345-0000
County -Hennepin
Phone-(952) 930-0782
License Status- Active
License Holder -Mount Olivet Rolling Acres, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071160; 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