Graceworks Enhanced Living
NPI #1821422916 in Forest Park, Ohio
Provider Information
- NPI Number
- 1821422916
- Entity Type
- Organization
- Organization Name
- Graceworks Enhanced Living
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GRACEWORKS ENHANCED LIVING
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Aug 26, 2013
- Last Updated
- Dec 23, 2020
Practice Location
- Address
- 1045 KEMPER MEADOW DRIVE
- City
- Forest Park
- State
- Ohio
- ZIP Code
- 45240
- Phone
- (513) 648-0830
Authorized Official
- Name
- MR. MICHAEL W ALLEN
- Title
- VICE PRESIDENT, FINANCE & FACILITIE
- Phone
- (937) 436-6885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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