Graceworks Enhanced Living

NPI #1104990886 in Beavercreek, Ohio

Provider Information

NPI Number: 1104990886
Entity Type: Organization
Organization Name: Graceworks Enhanced Living
Subpart: Yes (part of a larger organization)
Parent Organization: GRACEWORKS ENHANCED LIVING
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 17, 2006
Last Updated: Dec 23, 2020

Practice Location

Address: 3695 FINCASTLE DR
City: Beavercreek
State: Ohio
ZIP Code: 45431-2405
Phone: (937) 426-9183

Authorized Official

Name: MR. MICHAEL W ALLEN
Title: VICE PRESIDENT, FINANCE & FACILITIE
Phone: (937) 436-6885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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Graceworks Enhanced Living Part of Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Beavercreek	AI Deep Dive
Graceworks Enhanced Living Part of Graceworks Enhanced Living	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Beavercreek	AI Deep Dive
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