Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRACEWORKS ENHANCED LIVING
Active
Organization
GRACEWORKS ENHANCED LIVING
Active
Parent organization
GRACEWORKS ENHANCED LIVING
Other names
Williamsport
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACEWORKS ENHANCED LIVING
Authorized official
MR. MICHAEL W ALLEN (VICE PRESIDENT, FINANCE & FACILITIE)
(937) 436-6885
Entity
Organization
Contact information
Practice address
4519 WILLIAMSPORT DR, BEAVERCREEK, OH 45430-1842
(937) 912-9709
(513) 612-6545
Mailing address
11370 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4202
(513) 612-6500
(513) 612-6545
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
10/03/2013
Last updated
12/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers