Organization · Type 2 NPI
Adec-Bridlewood
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Goshen, IN
Practice location
58808 St Marys Ln
Goshen, IN 46528-7623
Fax (574) 818-5917
Mailing address
19670 Sr 120
Bristol, IN 46507-0398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 2670I0017JN08 (IN) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1043434624
Adec-Bridlewood's National Provider Identifier is 1043434624, issued on Apr 12, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Goshen, IN. The record was last updated on Aug 22, 2020.