Entity Details

Basic

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

Former Entity Name:
Friesland Al And Zeeland Memory Support

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
74

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0337

Initial License Date:
12/03/2013

Current License Date:
12/03/2025

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
12/03/2027

Months Since Last Survey:
19

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1742 Main Street

City:
Pella

State:
Iowa

Zip:
50219

Phone:
(641) 629-6139

Fax:
(641) 628-9887

URL:

Administrator/License #:
Caleb Pline / 132500

Administrator Email:
cpline@wesleylife.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: