MS. BETTY JO COOLEY L.P.N. NPI 1508014077

NPI Information

NPI: 1508014077
Provider Name: MS. BETTY JO COOLEY, L.P.N.
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
801 S HERMON RD
WASILLA, AK
ZIP 99654
Phone: (907) 631-3971
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MS. Betty Jo Cooley, L.P.N. is a residential treatment facility physical disabilities in Wasilla, AK. The provider is 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. MS. Betty Jo Cooley, L.P.N. NPI is 1508014077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 S HERMON RD
WASILLA, AK
ZIP 99654-311
Phone: (907) 631-3971
Fax: (907) 631-4085

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		100689	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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