Graceworks Enhanced Living in Beavercreek - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Graceworks Enhanced Living - NPI 1780851535
Graceworks Enhanced Living is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Beavercreek, Ohio. Graceworks Enhanced Living practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Graceworks Enhanced Living is 1780851535. The last update date is 2020-12-23.
Graceworks Enhanced Living's current location address is 3752 Grant Ave, Beavercreek, Ohio. You can contact this provider via phone number 9376731175. The mailing address for Graceworks Enhanced Living is 3752 Grant Ave, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceworks Enhanced Living |
|---|---|
| Address | 3752 Grant Ave, Beavercreek, Ohio |
| Phone Number | 9376731175 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Allen W Michael |
| Telephone Number | 9374366885 |
NPI Number Detail
| NPI Number | 1780851535 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 3752 Grant Ave |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454311588 |
| Phone Number | 9376731175 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Graceworks Enhanced Living by the Centers for Medicare & Medicaid Services?
The Graceworks Enhanced Living has been issued the NPI (National Provider Identifier) 1780851535, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Graceworks Enhanced Living located?
The Graceworks Enhanced Living is located at 3752 Grant Ave, Beavercreek, OH 454311588.
What is Graceworks Enhanced Living's specialized field of practice, and what is the corresponding taxonomy classification code?
The Graceworks Enhanced Living's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When did the Graceworks Enhanced Living receive its 1780851535?
The Graceworks Enhanced Living was issued its 1780851535 on 2008-05-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Graceworks Enhanced Living last refreshed?
The information related to the Graceworks Enhanced Living, including its address, specialty, and other relevant details, was last updated on 2020-12-23.
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