Individual provider · Type 1 NPI

Angela D. Wallace, BS

Day Training/Habilitation Specialist · South Williamson, KY

NPI number 1295849081 Active

Practice location

140 Hospital Dr
South Williamson, KY 41503-4022

Call (606) 237-9873 Map

Fax (606) 237-9723

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: 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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About NPI 1295849081

Angela D. Wallace, BS's National Provider Identifier is 1295849081, issued on Aug 18, 2006. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in South Williamson, KY. The record was last updated on Jul 8, 2007.