Facility Detail
License Category:
HCAI ID:
Facility Status:
PERM ID:
Total Licensed Beds:
License Effective Dates:
 - Facility Level:
Originally Licensed:
Beds:
| Units | Type | Suspended | From | To | 
|---|---|---|---|---|
Services:
| Service | Units | Alternate Address | 
|---|---|---|
| Units | Type | Suspended | From | To | 
|---|---|---|---|---|
| Service | Units | Alternate Address | 
|---|---|---|