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LSS 5th Ave, Grand Rapids

— ADULT Corporate FOSTER CARE -HCBS-Community Residential Setting (CRS)-ALL

NAME:  LSS 5th Ave

CITY:  Grand Rapids

COUNTY: Itasca

PHONE:  (218) 326-8095

LICENSE HOLDER: Lutheran Social Service of Minnesota

CAPACITY: 4

LICENSE TYPE: Home and Community Based Services – Community Residential Setting

TYPE OF LICENSE: This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069963; and providing Community Residential Setting: Respite care services, out-of-home; Foster Care services or supported living services

LICENSING AUTHORITY: Itasca County Health & Human Services

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