Entity Details

Marian Home Assisted Living ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
22

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0496

Initial License Date:
06/16/2025

Current License Date:
06/16/2025

Renewal Cycle:

Entity Type Renewal Cycle(months):
24

Expiration Date:
06/16/2027

Months Since Last Survey:
3

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2400 6th Avenue North

City:
Fort Dodge

State:
Iowa

Zip:
50501

Phone:

Fax:

URL:

Administrator/License #:
Tracy Trotter /

Administrator Email:
ttrotter@marianhome.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found