Organization
GRACEWORKS ENHANCED LIVING
Active
Parent organization
GRACEWORKS ENHANCED LIVING
Other names
Cross Creek
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
3372 CROSS CREEK CT, BEAVERCREEK, OH 45432-2767
(937) 306-8305
Mailing address
11370 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4202
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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