Ethan John Ilmar - Bethel, AK

Ethan John Ilmar

Day Training/Habilitation Specialist in Bethel, Alaska

NPI 1982125753

Ethan John Ilmar is a Day Training/Habilitation Specialist based in Bethel, AK. Ethan John Ilmar practices in Bethel, AK. The NPI Number for Ethan John Ilmar is 1982125753 and holds a License No. (Alaska).

The current practice location address for Ethan John Ilmar is 839 Chief Eddie Hoffman Hwy, Bethel, AK and can be reached out via phone at 907-543-2740 and via fax at 907-543-6729.

Location: 839 Chief Eddie Hoffman Hwy, Bethel, AK, 99559

NPI Number

1982125753

Provider Name

Ethan John Ilmar

Credential

Provider Entity Type

Individual

Gender

Male

Address

839 Chief Eddie Hoffman Hwy, Bethel, AK, 99559

Phone Number

907-543-2740

Fax Number

907-543-6729

Provider Enumeration Date

07/03/2017

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1020986	05	AK

Address

839 Chief Eddie Hoffman Hwy

City

Bethel

State

Alaska

Zip

99559

Phone Number

907-543-2740

Fax Number

907-543-6729

Address

839 Chief Eddie Hoffman Hwy

City

Bethel

State

Alaska

Zip

99559

Phone Number

907-543-2740

Fax Number

907-543-6729

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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