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Pine Street 3Facility Address4105 Pine Street |
Mailing Address
|
Contact Information
In Care of: Porter McRavion |
| Program code | Services | Age | Facility Type | Disability Category |
|---|---|---|---|---|
| 27G.5600C | Supervised Living for Adults with Developmental Disabilities | RESIDENTL | IID |
| Inspection Type | Document Type | Inspection Date | Pages |
|---|---|---|---|
| MHLCS Annual | Statement of Deficiency | 10/14/2025 | 6 |