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Mary Jane Moore
Personal Care Attendant in Wasilla, Alaska
NPI 1831761865

Mary Jane Moore is a Personal Care Attendant based in Wasilla, AK and is specialized in Personal Care Attendant. Mary Jane Moore practices in Wasilla, AK. The NPI Number for Mary Jane Moore is 1831761865 and holds a License No. (Alaska).

The current practice location address for Mary Jane Moore is 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK and can be reached out via phone at 907-631-3520. You can also correspond with Mary Jane Moore through the mailing address at 1401 S SEWARD MERIDIAN PKWY # ABC, WASILLA, AK - 99654-8312 (mailing address contact number: 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
1831761865
Provider Name
Mary Jane Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 S Seward Meridian Pkwy # Abc, Wasilla, AK, 99654-8312
Phone Number
907-631-3520
Fax Number
Provider Enumeration Date
07/09/2021
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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