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Pine Ridge Residence A, Bagley

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

NAME:  Pine Ridge Residence A

CITY:  Bagley

COUNTY: Clearwater

PHONE:  (218) 694-6716

LICENSE HOLDER: Pine Ridge Residence

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 1074109; and providing Community Residential Setting: Foster Care services or supported living services

LICENSING AUTHORITY: Clearwater County Dept of Human Services

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