REM Southwest Services, Inc. – CCL, Madison

License Number- 1071957

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

Name of Program-  REM Southwest Services, Inc. – CCL

Website-  

Address- 621 7th Ave, Madison, MN 56256-1256

County -Lac Qui Parle

Phone-(320) 598-3189

License Status-   Active

License Holder -REM Southwest Services Inc

Capacity-   4

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071943; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Lac qui Parle County Family Services Center

Initial Effective Date-  7/1/2014