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Countryhouse Residences for Memory Support ( ALP/D )

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Payment Type	Payment Date	Amount
Compliance	01/10/2020	$1,300.00		Compliance Detail

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Facilities Contact
Phone: 515.381.7272
Email: healthfacilities@dia.iowa.gov

Direct Care Worker/CNA and Health Care Employment Agency Contact
Phone: 515.381.7835
Email: DCW@dia.iowa.gov

Iowa Department of Inspections, Appeals, and Licensing
6200 Park Avenue, Suite 100
Des Moines, Iowa 50321-1270

version: 1.0.0.325