License Number- 1122889
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Universal Health Services LLC
Website-
Address- 3352 139TH AVE NW, Andover, MN 55304-7529
County -Anoka
Phone-(763) 951-2055
License Status- Active
License Holder -Universal Health Services LLC
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1113042; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Anoka County Human Services
Initial Effective Date- 5/1/2024