License Number- 1070661
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- MSOCS Grand Rapids
Website-
Address- 1939 NW 7th St, Grand Rapids, MN 55744-0000
County -Itasca
Phone-(218) 327-4654
License Status- Active
License Holder -Direct Care and Treatment
Capacity- 3
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070559; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Itasca County Health & Human Services
Initial Effective Date- 7/1/2014