Eisenhower House, Rush City

License Number- 1071402

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

Name of Program-  Eisenhower House

Website-  

Address- 7469 Timber Ridge Drive, Rush City, MN 55069-0000

County -Pine

Phone-(320) 358-1021

License Status-   Active

License Holder -Provide Care Inc

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071387; and providing Community Residential Setting: Crisis respite, out-of-home; Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Pine County Health & Human Services

Initial Effective Date-  7/1/2014