Entity Details

Avoca Lodge AL ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Avoca Lodge Al

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0138

Initial License Date:
02/28/2002

Current License Date:
02/27/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/27/2028

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
612 East York Road

City:
Avoca

State:
Iowa

Zip:
51521-4504

Phone:
(712) 343-2400

Fax:
(712) 343-2501

URL:

Administrator/License #:
Marquita Monroe /

Administrator Email:
mmonroe@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found