GRACEWORKS ENHANCED LIVING NPI 1659445294

NPI Information

GRACEWORKS ENHANCED LIVING is a residential treatment facility, intellectual and/or developmental disabilities in Cincinnati, OH. The provider is 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. GRACEWORKS ENHANCED LIVING NPI is 1659445294. The provider is registered as an organization entity type.
The provider Is Doing Business As Lockland Home.

The provider's business location address is:

450 WYOMING AVE
CINCINNATI, OH
ZIP 45215-451
Phone: (513) 821-9066

The provider's authorized official is Michael W Allen .
The authorized official title is Vice President, Finance & Facilitie and has the following contact phone number (937) 436-6885.

The CLIA number assigned to this NPI record is 36D2117370 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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