REM Hennepin, Inc. – Douglas II, Champlin

License Number- 1075788

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  REM Hennepin, Inc. – Douglas II

Website-  

Address- 6213 111th Ave N, Champlin, MN 55316-3908

County -Hennepin

Phone-(763) 657-0876

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