
BrightPath, Multiple Locations/Services
149 THOMPSON AVE E STE 206 West St Paul, MN 55118
NAME: Country Lane Homes of Poplar Dr LLC
CITY: East Gull Lake
COUNTY: Cass
PHONE: (218) 825-0022
LICENSE HOLDER: Country Lane Homes of Poplar Dr LLC
CAPACITY: 4
LICENSE TYPE: Home and Community Based Services – Community Residential Setting
TYPE OF LICENSE: This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073173; and providing Community Residential Setting: Foster Care services or supported living services
LICENSING AUTHORITY: Cass County Health & Human Services