Adec - Village Women

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bristol, IN

NPI 1710101183 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1710101183
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
2670I0003JN06 (IN)
Legal business name
ADEC - VILLAGE WOMEN
Practice address
807 Mottville Rd
Bristol, IN 46507-9220
Phone
(574) 848-7451
Fax
(574) 848-5917
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

Name
Paula M Shively
Title
Ceo
Phone
(574) 848-7451

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Adec Inc (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2670I0003JN06 IN Yes

Addresses

Primary practice location

807 Mottville Rd
Bristol, IN 46507-9220

Mailing address

19670 Sr 120
Bristol, IN 46507-0398
Phone (574) 848-7451

Other providers in Bristol, IN

All providers in Bristol, IN · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Indiana

Sources for this page

Verify at the official NPI Registry.