NPI 1205900917

Graceworks Enhanced Living

Organisation Intellectual Disabilities Intermediate Care Facility Cincinnati, OH

Practice location

Address: 11651 Walnut St, Cincinnati, OH 45246-3046
Phone: (513) 671-2654
Fax: (513) 671-1293
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 Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 3112143 (OH)

Other Intermediate Care Facility, Intellectual Disabilities providers in Ohio →

Registry record

NPI: 1205900917
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.