License Number- 1073710
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Prairie Community Waivered Services
Website-
Address- Edgewood Residence, Thief River Falls, MN 56701-4113
County -Pennington
Phone-(218) 681-3027
License Status- Active
License Holder -Prairie Community Services Inc
Capacity- 4
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; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Pennington County Human Services
Initial Effective Date- 7/1/2014