IndividualActive
Jacob Wrich
NPI 1881163632 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hastings, MN
Provider details
- NPI number
- 1881163632
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1097171 (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 1097171 (MN)
Residential Treatment Facilities
Practice location
603 3rd St W Apt 1
Hastings, MN 55033-1127
Phone: (651) 319-0193
Approximate (ZIP-level) locationGet directions
Mailing address
603 3rd St W
Hastings, MN 55033-1127
Additional practice locations (4)
- 927 6th St WHastings, MN 55033-1627Phone: (651) 432-3140
- 934 Bailey StHastings, MN 55033-2213Phone: (651) 319-0225
- 603 3rd St W Apt 3Hastings, MN 55033-1127Phone: (651) 319-0634
- 214 Sibley St Apt 2Hastings, MN 55033-1225Phone: (651) 319-0260
Registry dates
- Enumerated
- 2018-11-21
- Last updated
- 2018-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.