NAME: LSS Mac Vine Place
CITY: Elk River
COUNTY: Sherburne
PHONE: (763) 441-0960
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: Foster Care services or supported living services
LICENSING AUTHORITY: Sherburne County Health and Human Services