NAME: Pine Ridge Residence B
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