Organization
ADEC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA M SHIVELY (CEO/PRESIDENT)
(574) 848-7451
Entity
Organization
Contact information
Practice address
3302 N. MAIN ST, MICHAWAKA, IN 46545-3148
(574) 848-7451
(574) 848-5917
Mailing address
P O BOX 398, 19670 SR 120, BRISTOL, IN 46507-0398
(574) 848-7451
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2670B0031JN04
IN
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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