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Jacob Wrich
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hastings, Minnesota
NPI 1881163632

Jacob Wrich is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hastings, MN. Jacob Wrich practices in Hastings, MN. The NPI Number for Jacob Wrich is 1881163632 and holds a License No. 1097171 (Minnesota).

The current practice location address for Jacob Wrich is 603 3Rd St W Apt 1, Hastings, MN and can be reached out via phone at 651-319-0193.

Location: 603 3Rd St W Apt 1, Hastings, MN, 55033-1127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881163632
Provider Name
Jacob Wrich
Credential
Provider Entity Type
Individual
Gender
Male
Address
603 3Rd St W Apt 1, Hastings, MN, 55033-1127
Phone Number
651-319-0193
Fax Number
Provider Enumeration Date
11/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
603 3Rd St W Apt 1
City
Hastings
State
Minnesota
Zip
55033-1127
Phone Number
651-319-0193
Fax Number
person
Provider Business Mailing Address Details
Address
603 3Rd St W Apt 1
City
Hastings
State
Minnesota
Zip
55033-1127
Phone Number
651-319-0193
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1097171 (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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