| Inspection Type | Document Type | Visit Date | Pages | Inspection Status |
|---|---|---|---|---|
| Initial Licensure | Statement of Deficiencies | 04/30/2024 | 1 | No Deficiencies |
Facility ID: 11970417 | Generated: 2025-11-25
| Inspection Type | Document Type | Visit Date | Pages | Inspection Status |
|---|---|---|---|---|
| Initial Licensure | Statement of Deficiencies | 04/30/2024 | 1 | No Deficiencies |