License Number- 1121486
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- ProCare Home LLC
Website-
Address- 1517 84TH AVE N, Brooklyn Park, MN 55444-1486
County -Hennepin
Phone-(612) 442-0930
License Status- Active
License Holder -Ginni Omer Ali
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1092303; 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- 11/10/2023