License Number- 1073181
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Country Lane Homes of Central Minnesota Inc
Website-
Address- 1209 Sandy Lane, Monticello, MN 55362-8969
County -Wright
Phone-(763) 295-4856
License Status- Active
License Holder -Country Lane Homes of Central Minnesota Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073179; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Wright County Health and Human Services
Initial Effective Date- 7/1/2014