Pine River Group Home Inc Northland Meadows, Pequot Lakes

License Number- 1069858

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

Name of Program-  Pine River Group Home Inc Northland Meadows

Website-  

Address- 7553 COUNTY ROAD 1 SW, Pequot Lakes, MN 56472-9612

County -Cass

Phone-(218) 587-4888

License Status-   Active

License Holder -Pine River Group Home Inc

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069857; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Cass County Health & Human Services

Initial Effective Date-  7/1/2014