License Number- 1128449
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Supportive Lifestyles Inc
Website-
Address- 814 4TH ST SE, Willmar, MN 56201-4522
County -Kandiyohi
Phone-(320) 231-7800
License Status- Active
License Holder -Supportive Lifestyles Inc
Capacity- 1
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- 6/9/2025