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Shane Phelan
Day Training/Habilitation Specialist in Bethel, Alaska
NPI 1588243133

Shane Phelan is a Day Training/Habilitation Specialist based in Bethel, AK. Shane Phelan practices in Bethel, AK. The NPI Number for Shane Phelan is 1588243133 and holds a License No. (Alaska).

The current practice location address for Shane Phelan is 839 Chief Eddie Hoffman Hwy, Bethel, AK and can be reached out via phone at 907-543-2470. You can also correspond with Shane Phelan through the mailing address at PO BOX 528, BETHEL, AK - 99559-0528 (mailing address contact number: ).

Location: 839 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
person
Provider Profile Details
NPI Number
1588243133
Provider Name
Shane Phelan
Credential
Provider Entity Type
Individual
Gender
Male
Address
839 Chief Eddie Hoffman Hwy, Bethel, AK, 99559-0528
Phone Number
907-543-2470
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1020986 05 AK
institution
Provider Business Practice Location Address Details
Address
839 Chief Eddie Hoffman Hwy
City
State
Zip
99559
Phone Number
907-543-2470
Fax Number
person
Provider Business Mailing Address Details
Address
839 Chief Eddie Hoffman Hwy
City
State
Zip
99559
Phone Number
907-543-2470
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
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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