License Number- 1093454
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Provide Care Inc R-60
Website-
Address- 2060 BUNKER BLVD, Rush City, MN 55069-1900
County -Chisago
Phone-(651) 674-8312
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: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Chisago County Health & Human Services
Initial Effective Date- 4/1/2018