Provider Demographics
NPI:1063538338
Name:RURAL EMPLOYMENT ALTERNATIVES, INC.
Entity type:Organization
Organization Name:RURAL EMPLOYMENT ALTERNATIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-662-4043
Mailing Address - Street 1:495 4TH AVE
Mailing Address - Street 2:PO BOX 24
Mailing Address - City:CONROY
Mailing Address - State:IA
Mailing Address - Zip Code:52220
Mailing Address - Country:US
Mailing Address - Phone:319-662-4043
Mailing Address - Fax:
Practice Address - Street 1:495 4TH AVE
Practice Address - Street 2:
Practice Address - City:CONROY
Practice Address - State:IA
Practice Address - Zip Code:52220
Practice Address - Country:US
Practice Address - Phone:319-662-4043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0136218Medicaid
IA0448530Medicaid