Entity Details

Basic

Entity Type:
Adult Day Services (ADS)

Former Entity Name:
W T And Edna Dahl Adult Day Services

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
30

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
ADS106

Initial License Date:
04/22/2005

Current License Date:
04/22/2025

Renewal Cycle:
1095

Entity Type Renewal Cycle(months):
36

Expiration Date:
04/21/2028

Months Since Last Survey:
35

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
3520 Grand Avenue

City:
Des Moines

State:
Iowa

Zip:
50312-4359

Phone:
(515) 271-6646

Fax:
(515) 271-6988

URL:

Administrator/License #:
Julie Reed /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: