Adec - Middlebury Men
NPI #1164646527 in Middlebury, Indiana
Provider Information
- NPI Number
- 1164646527
- Entity Type
- Organization
- Organization Name
- Adec - Middlebury Men
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 603 HIGHLAND DR
- City
- Middlebury
- State
- Indiana
- ZIP Code
- 46540-9568
- Phone
- (574) 848-7451
Authorized Official
- Name
- PAULA M SHIVELY
- Title
- CEO
- Phone
- (574) 848-7451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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