OrganizationActive
Adec Inc
NPI 1780987438 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mishawaka, IN
Provider details
- NPI number
- 1780987438
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Paula Shively, Ceo/President(574) 848-7451
- License
- 2670B0032JN04 (IN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2670B0032JN04 (IN)
Residential Treatment Facilities
Practice location
3426 Portsmouth Ct Apt a
Mishawaka, IN 46545-3432
Phone: (574) 848-7451
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 398
Bristol, IN 46507-0398
Registry dates
- Enumerated
- 2010-12-17
- Last updated
- 2010-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.