# ADIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780399287
- **Authorized official:** BEATA MPESHA (LICENSEE)
- **Authorized official phone:** (616) 856-0163

## Contact information

- **Practice address:** 3981 WEDGEWOOD DR SW, WYOMING, MI 49519-3137
- **Practice address phone:** (616) 734-6194
- **Mailing address:** 3981 WEDGEWOOD DR SW, WYOMING, MI 49519-3137
- **Mailing address phone:** (616) 734-6194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 01/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 933217 | — | MI |