License Number- 1075704
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- NHS Northstar Specialized Services Xanadu
Website- https://nhs-nss.com/services/
Address- 333 HIGHLAND DR, Hibbing, MN 55746-2325
County -St. Louis
Phone-
License Status- Active
License Holder -NHS Northstar Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069654; and providing Community Residential Setting: Respite care services, out-of-home; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- St. Louis County Public Health & Human Services Dept
Initial Effective Date- 8/1/2014