Graceworks Enhanced Living

NPI #1225625379 in Liberty Twp, Ohio

Provider Information

NPI Number
1225625379
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
Dec 23, 2020
Last Updated
Dec 23, 2020

Practice Location

Address
6377 GLEN HOLLOW DR
State
Ohio
ZIP Code
45011-0442
Phone
(513) 755-8222

Authorized Official

Name
MR. MICHAEL W ALLEN
Title
VICE PRESIDENT, FINANCE & FACILITIE
Phone
(937) 436-6558

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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