Individual provider · Type 1 NPI
Jacob Wrich
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hastings, MN
Practice location
603 3rd St W Apt 1
Hastings, MN 55033-1127
Mailing address
603 3rd St W
Hastings, MN 55033-1127
Other practice locations
- 603 3rd St W Apt 3, Hastings, MN 55033-1127 · (651) 319-0634
- 934 Bailey St, Hastings, MN 55033-2213 · (651) 319-0225
- 927 6th St W, Hastings, MN 55033-1627 · (651) 432-3140
- 214 Sibley St Apt 2, Hastings, MN 55033-1225 · (651) 319-0260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 1097171 (MN) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1881163632
Jacob Wrich's National Provider Identifier is 1881163632, issued on Nov 21, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hastings, MN. The record was last updated on Nov 21, 2018.