Tricia Bastian - Walker, MN

Tricia Bastian

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Walker, Minnesota

NPI 1295291573

Tricia Bastian is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Walker, MN. Tricia Bastian practices in Walker, MN. The NPI Number for Tricia Bastian is 1295291573 and holds a License No. 1098115 (Minnesota).

The current practice location address for Tricia Bastian is 607 4Th St S, Walker, MN and can be reached out via phone at 218-251-1365.

Location: 607 4Th St S, Walker, MN, 56484-0910

NPI Number

1295291573

Provider Name

Tricia Bastian

Credential

Provider Entity Type

Individual

Gender

Female

Address

607 4Th St S, Walker, MN, 56484-0910

Phone Number

218-251-1365

Fax Number

Provider Enumeration Date

02/12/2019

Last Update Date

03/10/2024

Address

607 4Th St S

City

Walker

State

Minnesota

Zip

56484-6400

Phone Number

218-251-1365

Fax Number

Address

607 4Th St S

City

Walker

State

Minnesota

Zip

56484-6400

Phone Number

218-251-1365

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

1098115 (Minnesota)

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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