Graceworks Enhanced Living in Dayton - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Graceworks Enhanced Living - NPI 1881767515
Graceworks Enhanced Living is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dayton, 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 1881767515. The last update date is 2020-12-23.
Graceworks Enhanced Living's current location address is 2205 Wesleyan Rd, Dayton, Ohio. You can contact this provider via phone number 9372765324 and fax number 9372751797. The mailing address for Graceworks Enhanced Living is 2205 Wesleyan Rd, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Graceworks Enhanced Living |
|---|---|
| Address | 2205 Wesleyan Rd, Dayton, Ohio |
| Phone Number | 9372765324 |
| Fax Number | 9372751797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Allen W. Michael |
| Telephone Number | 9374366885 |
NPI Number Detail
| NPI Number | 1881767515 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 2205 Wesleyan Rd |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454062648 |
| Phone Number | 9372765324 |
| Fax Number | 9372751797 |
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 identifier 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) 1881767515 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Graceworks Enhanced Living?
The Graceworks Enhanced Living is situated at 2205 Wesleyan Rd, in the city of Dayton, state of OH, with the zip code 454062648.
What is Graceworks Enhanced Living's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Graceworks Enhanced Living is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
On what date did the Graceworks Enhanced Living receive the assignment of its 1881767515 from the Centers for Medicare & Medicaid Services?
The Graceworks Enhanced Living was issued its 1881767515 by the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information pertaining to Graceworks Enhanced Living most recently updated or revised?
The details related to Graceworks Enhanced Living, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-23.