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Pineridge Homes Inc., Moose Lake

— ADULT Corporate FOSTER CARE -HCBS-Community Residential Setting (CRS)-ALL

NAME:  Pineridge Homes Inc.

CITY:  Moose Lake

COUNTY: Carlton

PHONE:  (218) 485-4196

LICENSE HOLDER: Pine Ridge Homes, Inc,

CAPACITY: 4

LICENSE TYPE: Home and Community Based Services – Community Residential Setting

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

LICENSING AUTHORITY: Carlton County Public Health & Human Services

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