Entity Details

Azria Health Longview AL ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Azria Health Longview Al

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
36

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0001

Initial License Date:
10/14/1997

Current License Date:
05/31/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/31/2026

Months Since Last Survey:
20

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1010 Longview Rd

City:
Missouri Valley

State:
Iowa

Zip:
51555-1227

Phone:
(712) 642-2264

Fax:
(402) 442-1315

URL:

Administrator/License #:
Kelly Castillo / 116834

Administrator Email:
KCastillo@AzriaHealth.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found