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 46507-9131
(574) 848-4745
(574) 848-5917
Mailing address
PO BOX 398, 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
—
—
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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