NAME: Eisenhower House
CITY: Rush City
COUNTY: Pine
PHONE: (320) 358-1021
LICENSE HOLDER: Provide Care 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 1071387; and providing Community Residential Setting: Crisis respite, out-of-home; Foster Care services or supported living services
LICENSING AUTHORITY: Pine County Health & Human Services