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Divine House Inc, Willmar

License Number- 1069240

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

Name of Program-  Divine House Inc

Website-  

Address- 808 IRENE AVE, Willmar, MN 56201-4670

County -Kandiyohi

Phone-(320) 262-3612

License Status-   Active

License Holder -Divine House Inc

Capacity-   1

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; Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Kandiyohi County Family Service Dept

Initial Effective Date-  7/1/2014

Email MAFOMN.com

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