License Number- 1101004
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Porter
Website-
Address- 11817 PORTER DR, Champlin, MN 55316-2531
County -Hennepin
Phone-(651) 587-6404
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- Hennepin County Human Services & Public Health Dept
Initial Effective Date- 7/2/2019