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Adec-bridlewood
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goshen, Indiana
NPI 1043434624

Adec-bridlewood is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bristol, IN. Adec-bridlewood practices in Goshen, IN. The NPI Number for Adec-bridlewood is 1043434624 and holds a License No. 2670I0017JN08 (Indiana).

The current practice location address for Adec-bridlewood is 58808 St Marys Ln, Goshen, IN and can be reached out via phone at 574-848-7451 and via fax at 574-818-5917. You can also correspond with Adec-bridlewood through the mailing address at 19670 SR 120, BRISTOL, IN - 46507-0398 (mailing address contact number: 574-848-7451).

Location: 58808 St Marys Ln, Goshen, IN, 46507-0398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043434624
Provider Name
Adec-bridlewood
Credential
Provider Entity Type
Organization
Address
58808 St Marys Ln, Goshen, IN, 46507-0398
Phone Number
574-848-7451
Fax Number
574-818-5917
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58808 St Marys Ln
City
Goshen
State
Indiana
Zip
46528-7623
Phone Number
574-848-7451
Fax Number
574-818-5917
person
Provider Business Mailing Address Details
Address
58808 St Marys Ln
City
Goshen
State
Indiana
Zip
46528-7623
Phone Number
574-848-7451
Fax Number
574-818-5917
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2670I0017JN08 (Indiana)
Definition
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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