Individual provider · Type 1 NPI

Ethan John Ilmar

Day Training/Habilitation Specialist · Bethel, AK

NPI number 1982125753 Active

Practice location

839 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Call (907) 543-2740 Map

Fax (907) 543-6729

Mailing address

P.o. Box 528, Attn: Bh Malone Home Program
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 1982125753

Ethan John Ilmar's National Provider Identifier is 1982125753, issued on Jul 3, 2017. 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 Jul 3, 2017.