License Number- 1081983
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Rudolph Community & Care Polk #2
Website-
Address- 1210 POLK ST S APT 2, Shakopee, MN 55379-1957
County -Scott
Phone-(612) 469-2175
License Status- Active
License Holder -Rudolph Community & Care LLC
Capacity- 1
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069732; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Scott County Human Services
Initial Effective Date- 5/20/2016