Country Lane Homes of Poplar Dr LLC, East Gull Lake

License Number- 1073174

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  Country Lane Homes of Poplar Dr LLC

Website-  

Address- 1022 Poplar Dr, East Gull Lake, MN 56401-0000

County -Cass

Phone-(218) 825-0022

License Status-   Active

License Holder -Country Lane Homes of Poplar Dr LLC

Capacity-   4

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

Restrictions-None

Services-       

Licensing Authority-  Cass County Health & Human Services

Initial Effective Date-  7/1/2014