License Number- 1115085
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Phyxius Inc Theta
Website-
Address- 613 54TH AVE N, Saint Cloud, MN 56303-2044
County -Stearns
Phone-(320) 281-3161
License Status- Active
License Holder -Phyxius Inc
Capacity- 1
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071132; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Stearns County Human Services
Initial Effective Date- 7/20/2022