Graceworks Enhanced Living

NPI #1265891642 in Dayton, Ohio

Provider Information

NPI Number
1265891642
Entity Type
Organization
Organization Name
Graceworks Enhanced Living
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 15, 2016
Last Updated
Dec 23, 2020

Practice Location

Address
297 CONCEPT CT
City
Dayton
State
Ohio
ZIP Code
45458-2267
Phone
(937) 938-6651

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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