MSOCS Blaine, Blaine

License Number- 1090681

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  MSOCS Blaine

Website-  

Address- 12949 KENYON ST NE, Blaine, MN 55449-4991

County -Anoka

Phone-(763) 755-0233

License Status-   Active

License Holder -Direct Care and Treatment

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070559; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Anoka County Human Services

Initial Effective Date-  7/1/2017