LSS Pine Cove, Baxter

License Number- 1069995

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  LSS Pine Cove

Website-  

Address- 11645 Forestview Drive, Baxter, MN 56425-0000

County -Crow Wing

Phone-(866) 444-3743

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-  Crow Wing County Social Services

Initial Effective Date-  7/1/2014