Organization
BASTIN HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBBIE LYNN BASTIN RN (ADMINISTRATOR)
(513) 734-2662
Entity
Organization
Contact information
Practice address
3772 BASS RD, WILLIAMSBURG, OH 45176-9785
(513) 734-2662
(513) 724-2882
Mailing address
3772 BASS RD, WILLIAMSBURG, OH 45176-9785
(513) 734-2662
(513) 724-2882
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000659
—
OH
Enumeration date
03/01/2021
Last updated
03/01/2021
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