NorthStar Community Services Agate Place, Moose Lake

License Number- 1112025

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

Name of Program-  NorthStar Community Services Agate Place

Website-  

Address- 305 4TH ST, Moose Lake, MN 55767-2400

County -Carlton

Phone-(218) 485-4634

License Status-   Active

License Holder -Northstar Community Services LLC

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1100371; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Carlton County Public Health & Human Services

Initial Effective Date-  11/9/2021