Graceworks Enhanced Living

NPI #1730356585 in Beavercreek, Ohio

Provider Information

NPI Number
1730356585
Entity Type
Organization
Organization Name
Graceworks Enhanced Living
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 12, 2008
Last Updated
Dec 23, 2020

Practice Location

Address
3752 GRANT AVE APT C
State
Ohio
ZIP Code
45431-1588
Phone
(937) 673-1427

Authorized Official

Name
MR. MICHAEL 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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