Entity Details

Dora Barnes Residential Home ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
6

Status:
Closed

Close Date:
07/27/2005

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0077

Initial License Date:
05/03/2000

Current License Date:

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
24

Expiration Date:

Months Since Last Survey:

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
305 W Washington St

City:
Centerville

State:
Iowa

Zip:
52544

Phone:
(641) 437-1290

Fax:
(641) 437-1290

URL:

Administrator/License #:
Elaine Carter /

Administrator Email:

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found