person
Jack Wassillie JR.
Day Training/Habilitation Specialist in Bethel, Alaska
NPI 1316255391

Jack Wassillie JR. is a Day Training/Habilitation Specialist based in Bethel, AK. Jack Wassillie JR. practices in Bethel, AK. The NPI Number for Jack Wassillie JR. is 1316255391 and holds a License No. (Alaska).

The current practice location address for Jack Wassillie JR. is 700 Chief Eddie Hoffman Highway, Bethel, AK and can be reached out via phone at 907-543-6300. You can also correspond with Jack Wassillie JR. through the mailing address at P. O. BOX 287, BETHEL, AK - 99559 (mailing address contact number: ).

Location: 700 Chief Eddie Hoffman Highway, Bethel, AK, 99559
person
Provider Profile Details
NPI Number
1316255391
Provider Name
Jack Wassillie JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
700 Chief Eddie Hoffman Highway, Bethel, AK, 99559
Phone Number
907-543-6300
Fax Number
Provider Enumeration Date
09/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Chief Eddie Hoffman Highway
City
State
Zip
99559-0287
Phone Number
907-543-6300
Fax Number
person
Provider Business Mailing Address Details
Address
700 Chief Eddie Hoffman Highway
City
State
Zip
99559-0287
Phone Number
907-543-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
License No.
(Alaska)
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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