License Number- 1071394
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Provide Care, Inc.
Website-
Address- 33640 Jefferson St NorthEast, Cambridge, MN 55008-0000
County -Isanti
Phone-(763) 691-1310
License Status- Active
License Holder -Provide Care Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071387; and providing Community Residential Setting: Crisis respite, out-of-home; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Isanti County Family Services
Initial Effective Date- 7/1/2014