License Number- 1072526
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- South Metro
Website-
Address- 370 Ware Circle, Lino Lakes, MN 55101-0000
County -Anoka
Phone-(651) 330-0173
License Status- Active
License Holder -South Metro Human Services
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1072511; and providing Community Residential Setting: Foster Care services or supported living services * Certification: Adult Mental Health Certification – Site/Service Specific
Restrictions-None
Services-
Licensing Authority- Anoka County Human Services
Initial Effective Date- 7/1/2014
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