License Number- 1072523
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- South Metro Human Services
Website-
Address- 1100 161st Lane NW, Andover, MN 55304-4811
County -Anoka
Phone-(763) 434-5243
License Status- Active
License Holder -South Metro Human Services
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1072511; and providing Community Residential Setting: Foster Care services or supported living services * Certification: Adult Mental Health Certification – Site/Service Specific
Restrictions-None
Services-
Licensing Authority- Anoka County Human Services
Initial Effective Date- 7/1/2014