Provider Demographics
NPI:1295865202
Name:ADVANCEMENT SERVICES OF JONES COUNTY
Entity Type:Organization
Organization Name:ADVANCEMENT SERVICES OF JONES COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHT
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:319-465-5991
Mailing Address - Street 1:202 PLASTIC LN
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52310-9470
Mailing Address - Country:US
Mailing Address - Phone:319-465-5991
Mailing Address - Fax:319-465-6805
Practice Address - Street 1:202 PLASTIC LN
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IA
Practice Address - Zip Code:52310-9470
Practice Address - Country:US
Practice Address - Phone:319-465-5991
Practice Address - Fax:319-465-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0177204Medicaid
IA0749994Medicaid