License Number- 1070566
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- MSOCS Park Avenue
Website-
Address- 2307 Park Ave NW, Faribault, MN 55021-0000
County -Rice
Phone-(507) 332-5535
License Status- Active
License Holder -Direct Care and Treatment
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070559; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Rice County Social Services
Initial Effective Date- 7/1/2014