# GRACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366761124
- **Authorized official:** MS. GRACE TITILOLA LADIPO (LICENSED PRACTICAL NURSE)
- **Authorized official phone:** (614) 554-6671

## Contact information

- **Practice address:** 8590 CRANBERRY LN, PICKERINGTON, OH 43147-9441
- **Practice address phone:** (614) 554-6671
- **Mailing address:** 8590 CRANBERRY LN, PICKERINGTON, OH 43147-9441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 137701 | OH | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | 137701 | OH | Yes |

## Other

- **Enumeration date:** 05/19/2010
- **Last updated:** 05/19/2010