License Number- 1110793
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Granite 2
Website-
Address- 1222 34TH AVE N, Saint Cloud, MN 56303-1531
County -Stearns
Phone-(320) 253-5353
License Status- Active
License Holder -Lutheran Social Service of Minnesota
Capacity- 1
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- Stearns County Human Services
Initial Effective Date- 8/16/2021