NHS White Pine, Grand Rapids

License Number- 1075638

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

Name of Program-  NHS White Pine

Website-   https://nhs-nss.com/services/

Address- 1314 SE 4TH AVE # 1, Grand Rapids, MN 55744-4281

County -Itasca

Phone-(218) 326-2620

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-  Itasca County Health & Human Services

Initial Effective Date-  8/1/2014