Organization
GRACEWORKS AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W ALLEN (VICE PRESIDENT, FINANCE & FACILITIE)
(937) 436-6885
Entity
Organization
Contact information
Practice address
6451 FAR HILLS AVE, DAYTON, OH 45459-2725
(937) 436-7700
(937) 436-7702
Mailing address
6451 FAR HILLS AVE, DAYTON, OH 45459-2725
(937) 436-7700
(937) 436-7702
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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