Entity Details

Basic

Entity Type:
Adult Day Services (ADS)

Former Entity Name:
Cozy Corner Adult Day Care Ltd

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
ADS109

Initial License Date:
04/20/2005

Current License Date:
04/20/2025

Renewal Cycle:
1095

Entity Type Renewal Cycle(months):
36

Expiration Date:
04/19/2028

Months Since Last Survey:
38

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2785 Pennyslvania Avenue

City:
Dubuque

State:
Iowa

Zip:
52001-5460

Phone:
(563) 690-6900

Fax:
(563) 690-6900

URL:

Administrator/License #:
Bob and Mariko Wilbricht /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: