Organization · Type 2 NPI

Adec - Hawthorne

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Goshen, IN

NPI number 1992929350 Active

Practice location

403 Hawthorne Dr
Goshen, IN 46526-1211

Fax (574) 848-5917

Mailing address

19670 Sr 120
Bristol, IN 46507-0398

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X2670D0019JN08 (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 1992929350

Adec - Hawthorne's National Provider Identifier is 1992929350, issued on Apr 13, 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.