Individual provider · Type 1 NPI

Jack Wassillie Jr.

Day Training/Habilitation Specialist · Bethel, AK

NPI number 1316255391 Active

Practice location

700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0287

Mailing address

P. O. Box 287, Yukon Kuskokwim Health Corporation
Bethel, AK 99559

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 1316255391

Jack Wassillie Jr.'s National Provider Identifier is 1316255391, issued on Sep 23, 2010. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Bethel, AK. The record was last updated on Sep 23, 2010.