License Number- 1075564
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- The Phoenix Residence Eric’s House
Website-
Address- 890 13TH ST, Newport, MN 55055-1716
County -Washington
Phone-(651) 459-0070
License Status- Active
License Holder -The Phoenix Residence, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069611; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Washington County Community Services
Initial Effective Date- 7/1/2014
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