Entity Details

Willow Dale Independent & Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
20

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0180

Initial License Date:
09/22/2003

Current License Date:
09/22/2023

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
09/21/2025

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
118 North Ida Street

City:
Battle Creek

State:
Iowa

Zip:
51006-9425

Phone:
(712) 365-4338

Fax:
(712) 365-4855

URL:

Administrator/License #:
Todd Riessen /

Administrator Email:
triessen@abcmcorp.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found