License Number- 1068723
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Pine Ridge Cedar Home
Website- pineridgehomes.org
Address- 1509 14TH ST, Cloquet, MN 55720-3133
County -Carlton
Phone-(218) 879-1281
License Status- Active
License Holder -Pine Ridge Homes, Inc,
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068718; 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- 7/1/2014