Provider Demographics
NPI:1114346475
Name:ADIEL, INC.
Entity Type:Organization
Organization Name:ADIEL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-714-8363
Mailing Address - Street 1:925 E KENNEDALE PKWY
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-3225
Mailing Address - Country:US
Mailing Address - Phone:817-715-9030
Mailing Address - Fax:817-483-9484
Practice Address - Street 1:925 E KENNEDALE PKWY
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-3225
Practice Address - Country:US
Practice Address - Phone:817-715-9030
Practice Address - Fax:817-483-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services