Pathways to Community 115th Lane, Champlin

License Number- 1101673

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

Name of Program-  Pathways to Community 115th Lane

Website-  

Address- 8140 115TH LN N, Champlin, MN 55316-2746

County -Hennepin

Phone-(763) 208-3677

License Status-   Active

License Holder -Pathways to Community

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069743; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Hennepin County Human Services & Public Health Dept

Initial Effective Date-  9/1/2019