| Inspection Type | Document Type | Visit Date | Pages | Inspection Status |
|---|---|---|---|---|
| Initial Licensure | Statement of Deficiencies | 05/25/2023 | 1 | No Deficiencies |
Facility ID: 11970210 | Generated: 2025-11-25
| Inspection Type | Document Type | Visit Date | Pages | Inspection Status |
|---|---|---|---|---|
| Initial Licensure | Statement of Deficiencies | 05/25/2023 | 1 | No Deficiencies |