Entity Details

Thunderbird ( RCF )

Basic

Entity Type:
Residential Care Facilities (RCF)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
8

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
648069

Initial License Date:
04/01/2022

Current License Date:
04/01/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/01/2027

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
30

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2102 S. 5th Avenue

City:
Marshalltown

State:
Iowa

Zip:
50158

Phone:
(515) 971-4731

Fax:
(641) 351-4879

URL:

Administrator/License #:
Julia Welker /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found