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Northwoods Villa Inc, Grand Rapids

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

NAME:  Northwoods Villa Inc

CITY:  Grand Rapids

COUNTY: Itasca

PHONE:  (218) 999-4644

LICENSE HOLDER: Northwoods Villa

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 1096619; and providing Community Residential Setting: Foster Care services or supported living services

LICENSING AUTHORITY: Itasca County Health & Human Services

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