REM South Central Services, Inc. – 12th Street, Willmar

License Number- 1071638

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

Name of Program-  REM South Central Services, Inc. – 12th Street

Website-  

Address- 1313 12th St SE, Willmar, MN 56201-0000

County -Kandiyohi

Phone-(320) 214-7572

License Status-   Active

License Holder -REM South Central Services, Inc.

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071617; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Kandiyohi County Family Service Dept

Initial Effective Date-  7/1/2014