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Divine House Crisis II, Raymond

License Number- 1069241

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

Name of Program-  Divine House Crisis II

Website-  

Address- 14050 40th St NE, Raymond, MN 56282-0000

County -Chippewa

Phone-(320) 967-4762

License Status-   Active

License Holder -Divine House Inc

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069140; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Chippewa County Family Services

Initial Effective Date-  7/1/2014

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