License Number- 1128448
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Lutheran Social Services
Website- https://www.lssmn.org/services/disability-services/residential-support/host-homes
Address- 720 NW 4TH AVE, Grand Rapids, MN 55744-2569
County -Itasca
Phone-(218) 742-4395
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- Itasca County Health & Human Services
Initial Effective Date- 6/10/2025