License Number- 1096055
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Habilitative Services LLC Marie Lane
Website-
Address- 533 MARIE LN, North Mankato, MN 56003-3220
County -Nicollet
Phone-(507) 387-3920
License Status- Active
License Holder -Habilitative Services LLC
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070961; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Nicollet County Human Services
Initial Effective Date- 8/15/2018