Entity Details

Basic

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

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
140

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0086

Initial License Date:
07/07/2000

Current License Date:
07/07/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/06/2028

Months Since Last Survey:
15

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2907 S 6th St

City:
Marshalltown

State:
Iowa

Zip:
50158-4687

Phone:
(641) 752-8410

Fax:
(641) 752-8515

URL:

Administrator/License #:
Lisa Hall /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: