Provider Demographics
NPI:1174947113
Name:AVANCE-D COMMINUTY ALTERNATIVES, LLC
Entity type:Organization
Organization Name:AVANCE-D COMMINUTY ALTERNATIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TESSY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-408-9941
Mailing Address - Street 1:7424 SW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4663
Mailing Address - Country:US
Mailing Address - Phone:785-408-9941
Mailing Address - Fax:785-408-1714
Practice Address - Street 1:7424 SW 33RD ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4663
Practice Address - Country:US
Practice Address - Phone:785-408-9941
Practice Address - Fax:785-408-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities