NAME: Interim Crossroad
CITY: Hermantown
COUNTY: St. Louis
PHONE: (218) 722-0318
LICENSE HOLDER: Interim Healthcare of Lake Superior Inc
CAPACITY: 2
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 1072502; and providing Community Residential Setting: Foster Care services or supported living services
LICENSING AUTHORITY: St. Louis County Public Health & Human Services Dept