NPI 1033283676
Graceworks Enhanced Living
Practice location
- Address
- 1707 Clarence St, Dayton, OH 45410-2607
- Phone
- (937) 256-9011
- Mailing address
- Graceworks Enhanced Living 11370 Springfield Pike, Cincinnati, OH 45246-4202
Authorised official
- Name
- Michael W Allen
- Title
- Vice President, Finance & Facilitie
- Phone
- (937) 436-6885
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1033283676
- Entity type
- Organization
- NPI issued
- 17 Nov 2006
- Record last updated
- 23 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.