License Number- 1071749
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- REM Hennepin, Inc. – 16th Avenue
Website-
Address- 9242 16TH AVE S, Bloomington, MN 55425-2304
County -Hennepin
Phone-(952) 884-5827
License Status- Active
License Holder -REM Hennepin, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071738; 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