Graceworks Enhanced Living
Graceworks Enhanced Living is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Beavercreek, Ohio. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
3690 Shakertown RdBeavercreek, OH 45430-1425
Phone: (937) 912-5127
Fax: (513) 612-6545
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1053748731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Graceworks Enhanced Living |
| Authorized official | Michael Allen — Vice President, Finance & Facilitie · (937) 436-6885 |
| Other names | Shakertown; Shakertown |
| NPI enumerated | September 26, 2013 |
| Last updated in NPPES | December 23, 2020 |
| Certification date | December 23, 2020 |
| Mailing address | 11370 Springfield Pike, Cincinnati, OH 45246-4202 |
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