Organization · Type 2 NPI

Graceworks Enahnced Living

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

NPI number 1982778627 Active

Practice location

676 Dionne Ct
Centerville, OH 45459-1609

Call (937) 436-5817 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 Centerville

Graceworks Enhanced LivingIntellectual and/or Developmental Disabilities Residential Treatment Facility Centerville, OH NPI 1801255294

See all in Centerville →

NPI record

NPI: 1982778627
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>
Dionne · doing business as
Dionne · doing business as

Authorized official

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

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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.

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About NPI 1982778627

Graceworks Enahnced Living's National Provider Identifier is 1982778627, 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 Centerville, OH. The record was last updated on Dec 23, 2020.