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149 THOMPSON AVE E STE 206 West St Paul, MN 55118
NAME: Country Lane Homes Gull River LLC
CITY: East Gull Lake
COUNTY: Cass
PHONE: (218) 828-1030
LICENSE HOLDER: Country Lane Homes Gull River 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 1073177; and providing Community Residential Setting: Foster Care services or supported living services
LICENSING AUTHORITY: Cass County Health & Human Services