License Number- 1077960
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Bartlett
Website-
Address- 11995 MAIN ST, Northome, MN 56661-8077
County -Koochiching
Phone-(218) 897-5288
License Status- Active
License Holder -Lutheran Social Service of Minnesota
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069963; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Koochiching County Community Services
Initial Effective Date- 4/1/2015