License Number- 1073267
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Maple Wood Residence SLS
Website-
Address- 909 Oakland Park Rd, Thief River Falls, MN 56701-0000
County -Pennington
Phone-(218) 681-1278
License Status- Active
License Holder -Johnson’s Riverside SLS Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073266; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Pennington County Human Services
Initial Effective Date- 7/1/2014