License Number- 1095416
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Eagle River I
Website-
Address- 2134 13TH AVE NW, East Grand Forks, MN 56721-1020
County -Polk
Phone-(218) 399-3010
License Status- Active
License Holder -Eagle’s Wing Foster Home LLC
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069248; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Polk County Social Service Center
Initial Effective Date- 7/2/2018