License Number- 1118988
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Clark Lake Homes Inc
Website-
Address- 420 VINE ST, Brainerd, MN 56401-4015
County -Crow Wing
Phone-(218) 833-9814
License Status- Active
License Holder -Clark Lake Homes, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071354; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Crow Wing County Social Services
Initial Effective Date- 4/27/2023