Entity Details

Ottumwa Dialysis ( ESRD )

Basic

Entity Type:
End Stage Renal Disease (ESRD)

Medicaid #:

CCN #:
162560

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
25

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1005 Pennsylvania Avenue, Suite 101

City:
Ottumwa

State:
Iowa

Zip:
52501

Phone:
(641) 682-1531

Fax:
(641) 682-0794

URL:

Administrator/License #:
Sydney Winkelmann /

Administrator Email:

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found