License Number- 1069994
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- LSS Willow Bay
Website-
Address- 13515 Honeysuckle Way, Baxter, MN 56425-0000
County -Crow Wing
Phone-(218) 825-1932
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