Organization
GRACELAND SUPPORT SERVICES LLC
Active
Other names
GRACELAND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH K AMPONSAH (CEO)
(614) 568-3441
Entity
Organization
Contact information
Practice address
2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
(614) 568-3441
Mailing address
2511 W SCHROCK RD, WESTERVILLE, OH 43081-8956
(614) 568-3441
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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