Organization
JAYBROOK FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER MARIE MOHR (FOUNDER CEO)
(319) 804-9374
Entity
Organization
Contact information
Practice address
1718 TIMBER HILLS DR, CORALVILLE, IA 52241-3014
(319) 804-9374
Mailing address
1718 TIMBER HILLS DR, CORALVILLE, IA 52241-3014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
305R00000X
Preferred Provider Organization
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/16/2024
Last updated
09/05/2024
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