License Number- 1103757
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Pine Street Services LLC
Website-
Address- 840 MAIN ST S, Sauk Centre, MN 56378-1647
County -Stearns
Phone-(320) 429-2248
License Status- Active
License Holder -Pine Street Services, LLC
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1102169; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Stearns County Human Services
Initial Effective Date- 1/1/2020