Graceworks Enahnced Living
NPI #1982778627 in Centerville, Ohio
Provider Information
- NPI Number
- 1982778627
- Entity Type
- Organization
- Organization Name
- Graceworks Enahnced 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
- 676 DIONNE CT
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-1609
- Phone
- (937) 436-5817
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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