Entity Details

Basic

Entity Type:
Residential Care Facilities (RCF)

Former Entity Name:
Handicapped Development Center #9

Medicaid #:
0894477

CCN #:

Occupancy Type:
Beds

Max Occupancy:
8

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
820467

Initial License Date:
03/07/1988

Current License Date:
03/07/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
03/07/2027

Months Since Last Survey:
33

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1815 West 59th Street

City:
Davenport

State:
Iowa

Zip:
52806-0000

Phone:
(563) 391-4834

Fax:
(563) 391-5136

URL:

Administrator/License #:
Tiffany Sprague /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: