Organization
ADEC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M SHIVELY (CEO PRESIDENT)
(574) 848-7451
Entity
Organization
Contact information
Practice address
19670 STATE ROAD 120, BRISTOL, IN 46507-0398
(574) 848-7451
(574) 848-5917
Mailing address
P O BOX 398, 19670 STATE ROAD 120, BRISTOL, IN 46507-0398
(574) 848-7451
(574) 848-5917
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
IN
Enumeration date
03/31/2011
Last updated
03/31/2011
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