NAME: Interim Freeman
CITY: Cloquet
COUNTY: Carlton
PHONE: (218) 722-0053
LICENSE HOLDER: Interim Healthcare of Lake Superior Inc
CAPACITY: 1
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: Carlton County Public Health & Human Services