Jaylene Pequeno in Bethel - Day Training/habilitation Specialist
Jaylene Pequeno - NPI 1790948347
Jaylene Pequeno is a Day Training/habilitation Specialist in Bethel, Alaska. Jaylene Pequeno practices all healthcare services and medical treatments related to Day Training/habilitation Specialist. The NPI Number for Jaylene Pequeno is 1790948347. The last update date is 2008-07-03.
Jaylene Pequeno'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 Jaylene Pequeno is 700 Chief Eddie Hoffman Highway, Bethel, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaylene Pequeno |
|---|---|
| Address | 700 Chief Eddie Hoffman Highway, Bethel, Alaska |
| Phone Number | 9075436300 |
| Fax Number | 9075436366 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790948347 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 700 Chief Eddie Hoffman Highway |
|---|---|
| City | Bethel |
| State | Alaska (AK) |
| Post Code | 99559 |
| Phone Number | 9075436300 |
| Fax Number | 9075436366 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training/habilitation Specialist |
|---|---|
| Taxonomy | 373H00000X |
|
Definition: 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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What is the Jaylene Pequeno's 1790948347?
The Jaylene Pequeno's NPI (National Provider Identifier) Number is 1790948347. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jaylene Pequeno?
The Jaylene Pequeno is physically situated at 700 Chief Eddie Hoffman Highway, in the city of Bethel, state of AK, with the postal code 99559.
What is the Jaylene Pequeno's specialty and taxonomy code?
The Jaylene Pequeno's specialty is Day Training/habilitation Specialist, and the corresponding taxonomy code is 373H00000X.
On what date did the Jaylene Pequeno receive its 1790948347 assignment from the Centers for Medicare & Medicaid Services?
The Jaylene Pequeno was assigned its 1790948347 by the Centers for Medicare & Medicaid Services on 2008-07-03.
As of what date was the information regarding Jaylene Pequeno, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jaylene Pequeno, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-03.
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