# GRACELAND SUPPORT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRACELAND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316664337
- **Authorized official:** MR. JOSEPH K AMPONSAH (CEO)
- **Authorized official phone:** (614) 568-3441

## Contact information

- **Practice address:** 2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
- **Practice address phone:** (614) 568-3441
- **Mailing address:** 2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
- **Mailing address phone:** (614) 568-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022
