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Provide Care Inc Hoover, North Branch

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

NAME:  Provide Care Inc Hoover

CITY:  North Branch

COUNTY: Chisago

PHONE:  (651) 674-5824

LICENSE HOLDER: Provide Care 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 1071387; and providing Community Residential Setting: Crisis respite, out-of-home; Foster Care services or supported living services

LICENSING AUTHORITY: Chisago County Health & Human Services

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