Tricia Bastian
Tricia Bastian is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Walker, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2019
Practice location Address checks out
607 4th St SWalker, MN 56484-6400
Phone: (218) 251-1365
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 1098115 (MN) |
|---|
Record details
| NPI number | 1295291573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2019 |
| Last updated in NPPES | February 12, 2019 |
| Mailing address | Po Box 910, Walker, MN 56484-0910 |