Adec - Goshen Men in Bristol - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Adec - Goshen Men - NPI 1871717223
Adec - Goshen Men is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bristol, Indiana. Adec - Goshen Men practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Adec - Goshen Men is 1871717223. The last update date is 2020-08-22.
Adec - Goshen Men's current location address is 19670 Sr 120, Bristol, Indiana. You can contact this provider via phone number 5748487451 and fax number 5748485917. The mailing address for Adec - Goshen Men is 19670 Sr 120, Bristol, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adec - Goshen Men |
|---|---|
| Address | 19670 Sr 120, Bristol, Indiana |
| Phone Number | 5748487451 |
| Fax Number | 5748485917 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Shively M Paula |
| Telephone Number | 5748485751 |
NPI Number Detail
| NPI Number | 1871717223 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 19670 Sr 120 |
|---|---|
| City | Bristol |
| State | Indiana (IN) |
| Post Code | 465070398 |
| Phone Number | 5748487451 |
| Fax Number | 5748485917 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2670I0011DE0 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Adec - Goshen Men by the Centers for Medicare & Medicaid Services?
The Adec - Goshen Men has been assigned the NPI (National Provider Identifier) 1871717223. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Adec - Goshen Men?
The Adec - Goshen Men is situated at 19670 Sr 120, in the city of Bristol, state of IN, with the zip code 465070398.
What is Adec - Goshen Men's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Adec - Goshen Men is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871717223 to Adec - Goshen Men?
The Adec - Goshen Men received its 1871717223 assignment from the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the Adec - Goshen Men's information last updated?
The Adec - Goshen Men's information was last updated on 2020-08-22.