Entity Details

Cobble Creek AL of Spencer ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Cobble Creek Al Of Spencer

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
12

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0091

Initial License Date:
07/24/2000

Current License Date:
07/24/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/24/2026

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2116 1st Ave E

City:
Spencer

State:
Iowa

Zip:
51301-2313

Phone:
(712) 262-1430

Fax:
(712) 262-1454

URL:

Administrator/License #:
Aimee Mueller /

Administrator Email:
spencercobblecreek@gmail.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found