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Clark Lake Homes Inc, Brainerd

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

NAME:  Clark Lake Homes Inc

CITY:  Brainerd

COUNTY: Crow Wing

PHONE:  (218) 833-9814

LICENSE HOLDER: Clark Lake Homes, Inc.

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 1071354; and providing Community Residential Setting: Foster Care services or supported living services

LICENSING AUTHORITY: Crow Wing County Social Services

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