License Number- 1073163
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- House Elmwood Share A Home Inc
Website-
Address- 414 NE 2nd St, Wadena, MN 56482-1236
County -Wadena
Phone-(218) 631-4913
License Status- Active
License Holder -Share A Home
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073162; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Wadena County Social Service Dept
Initial Effective Date- 7/1/2014
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