NPI 1528495637

Graceworks Enhanced Living

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

Practice location

Address: 4519 Williamsport Dr, Beavercreek, OH 45430-1842
Phone: (937) 912-9709
Fax: (513) 612-6545
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

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Registry record

NPI: 1528495637
Entity type: Organization
NPI issued: 3 Oct 2013
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.