NAME: Pine Street Services LLC
CITY: Sauk Centre
COUNTY: Stearns
PHONE: (320) 429-2248
LICENSE HOLDER: Pine Street Services, LLC
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 1102169; and providing Community Residential Setting: Foster Care services or supported living services
LICENSING AUTHORITY: Stearns County Human Services