Wally Jackson-John in Bethel - Personal Care Attendant
Wally Jackson-John - NPI 1790984771
Wally Jackson-John is a Personal Care Attendant in Bethel, Alaska. Wally Jackson-John practices all healthcare services and medical treatments related to Personal Care Attendant. The NPI Number for Wally Jackson-John is 1790984771. The last update date is 2011-08-09.
Wally Jackson-John's current location address is 700 Chief Eddie Hoffman Highway, Bethel, Alaska. You can contact this provider via phone number 9075436300 and fax number 9075436366. The mailing address for Wally Jackson-John is 700 Chief Eddie Hoffman Highway, Bethel, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wally Jackson-John |
|---|---|
| Address | 700 Chief Eddie Hoffman Highway, Bethel, Alaska |
| Phone Number | 9075436300 |
| Fax Number | 9075436366 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790984771 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2011-08-09 |
Provider Mailing Address Detail
| Address | 700 Chief Eddie Hoffman Highway |
|---|---|
| City | Bethel |
| State | Alaska (AK) |
| Post Code | 995590528 |
| Phone Number | 9075436300 |
| Fax Number | 9075436366 |
Provider's Primary Taxonomy Detail
| Speciality | Personal Care Attendant |
|---|---|
| Taxonomy | 3747P1801X |
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Definition: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the in |
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Post Comment/ Review Below
What is the Wally Jackson-John's unique identification number?
The Wally Jackson-John has been assigned the NPI (National Provider Identifier) Number 1790984771 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Wally Jackson-John's physical address?
The Wally Jackson-John is physically located at 700 Chief Eddie Hoffman Highway, in the city of Bethel, AK, with the postal code 995590528.
What is Wally Jackson-John's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wally Jackson-John is Personal Care Attendant, and the corresponding taxonomy classification code for this specialized field is 3747P1801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790984771 to Wally Jackson-John?
The Centers for Medicare & Medicaid Services assigned the 1790984771 to Wally Jackson-John on 2007-07-11.
When was the information related to Wally Jackson-John most recently updated or refreshed?
The details pertaining to the Wally Jackson-John, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-09.