NAME: Interim Health Care of Lake Superior
CITY: Cloquet
COUNTY: Carlton
PHONE: (218) 879-1363
LICENSE HOLDER: Interim Healthcare of Lake Superior 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 1072502; and providing Community Residential Setting: Crisis respite, out-of-home; Foster Care services or supported living services * Certification: Adult Mental Health Certification – Site/Service Specific
LICENSING AUTHORITY: Carlton County Public Health & Human Services
Your request has been submitted successfully.
MAFO Sponsors
