Individual provider · Type 1 NPI
Betty Jo Cooley, L.P.N.
Physical Disabilities Residential Treatment Facility · Wasilla, AK
NPI number
1508014077
Active
Practice location
801 S Hermon Rd
Wasilla, AK 99654-7311
Fax (907) 631-4085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 100689 (AK) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
2 other providers at this address
Other physical disabilities residential treatment facility providers in Wasilla
About NPI 1508014077
Betty Jo Cooley, L.P.N.'s National Provider Identifier is 1508014077, issued on Sep 8, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Wasilla, AK. The record was last updated on Sep 8, 2008.