License Number- 1101005
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Shoreview
Website-
Address- 206 DEMAR AVE, Shoreview, MN 55126-6238
County -Ramsey
Phone-(651) 486-2012
License Status- Active
License Holder -Lutheran Social Service of Minnesota
Capacity- 2
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- Ramsey County Community Human Services Dept
Initial Effective Date- 7/10/2019