License Number- 1103057
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Cardinal
Website-
Address- 12819 25TH AVE SW, Pillager, MN 56473-2357
County -Cass
Phone-(218) 746-4298
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- Cass County Health & Human Services
Initial Effective Date- 12/1/2019