License Number- 1068147
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Supportive Lifestyles Inc
Website-
Address- 336 TERRACE DR SW, Willmar, MN 56201-5248
County -Kandiyohi
Phone-(320) 262-3440
License Status- Active
License Holder -Supportive Lifestyles Inc
Capacity- 3
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068133; 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