NPI 1073100111

Graceworks Enhanced Living

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Beavercreek, OH

Practice location

Address: 3372 Cross Creek CT, Beavercreek, OH 45432-2767
Phone: (937) 306-8305
Mailing address: 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

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1073100111
Entity type: Organization
NPI issued: 23 Dec 2020
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.