Organization · Type 2 NPI

Graceworks Enhanced Living

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

NPI number 1104990886 Active

Practice location

3695 Fincastle Dr
Beavercreek, OH 45431-2405

Call (937) 426-9183 Map

Mailing address

11370 Springfield Pike
Cincinnati, OH 45246-4202

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Other intellectual and/or developmental disabilities residential treatment facility providers in Beavercreek

See all in Beavercreek →

NPI record

NPI: 1104990886
Entity type: Organization (Type 2)
Issued: Nov 17, 2006
Last updated: Dec 23, 2020
Status: Active
Subpart: Yes of Graceworks Enhanced Living

Other names

<unavail>
Mehaffie · doing business as
Mehaffie · doing business as

Authorized official

Mr. Michael W Allen
Vice President, Finance & Facilitie
(937) 436-6885

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104990886

Graceworks Enhanced Living's National Provider Identifier is 1104990886, issued on Nov 17, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Beavercreek, OH. The record was last updated on Dec 23, 2020.