Prairie Community Services Willow, Fairfax

License Number- 1073711

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

Name of Program-  Prairie Community Services Willow

Website-  

Address- 1001 1ST ST SE, Fairfax, MN 55332-9794

County -Renville

Phone-(507) 426-8277

License Status-   Active

License Holder -Prairie Community Services Inc

Capacity-   3

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073698; 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-  Renville County Human Services

Initial Effective Date-  7/1/2014