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Jesse Gerald Smith III
Day Training/Habilitation Specialist in Wasilla, Alaska
NPI 1144845140

Jesse Gerald Smith III is a Day Training/Habilitation Specialist based in Wasilla, AK. Jesse Gerald Smith III practices in Wasilla, AK. The NPI Number for Jesse Gerald Smith III is 1144845140 and holds a License No. (Alaska).

The current practice location address for Jesse Gerald Smith III is 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK and can be reached out via phone at 907-631-3520.

Location: 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK, 99654-8312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144845140
Provider Name
Jesse Gerald Smith III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1401 S Seward Meridian Pkwy # Abc, Wasilla, AK, 99654-8312
Phone Number
907-631-3520
Fax Number
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 S Seward Meridian Pkwy # Abc
City
Wasilla
State
Alaska
Zip
99654-8312
Phone Number
907-631-3520
Fax Number
person
Provider Business Mailing Address Details
Address
1401 S Seward Meridian Pkwy # Abc
City
Wasilla
State
Alaska
Zip
99654-8312
Phone Number
907-631-3520
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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