
BrightPath, Multiple Locations/Services
149 THOMPSON AVE E STE 206 West St Paul, MN 55118
NAME: LSS 5th Ave
CITY: Grand Rapids
COUNTY: Itasca
PHONE: (218) 326-8095
LICENSE HOLDER: Lutheran Social Service of Minnesota
CAPACITY: 4
LICENSE TYPE: Home and Community Based Services – Community Residential Setting
TYPE OF LICENSE: This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069963; and providing Community Residential Setting: Respite care services, out-of-home; Foster Care services or supported living services
LICENSING AUTHORITY: Itasca County Health & Human Services