Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
28

Status:
Closed

Close Date:
07/12/2006

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0192

Initial License Date:
05/27/2004

Current License Date:
05/26/2005

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
24

Expiration Date:
05/26/2006

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:
7951 E P True Parkway

City:
West Des Moines

State:
Iowa

Zip:
50266

Phone:
(515) 223-1135

Fax:
(515) 223-9064

URL:

Administrator/License #:
Maureen Cahill /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: