Adec - Village Men

NPI #1275757643 in Bristol, Indiana

Provider Information

NPI Number: 1275757643
Entity Type: Organization
Organization Name: Adec - Village Men
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 19816 STATE ROAD 120 #3
City: Bristol
State: Indiana
ZIP Code: 46507
Phone: (574) 848-5751

Authorized Official

Name: PAULA M SHIVELY
Title: CEO
Phone: (574) 848-7451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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