Organization
GRACIOUSLY CREATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA JESSICA AJUNWA (MEMBER)
(513) 536-6399
Entity
Organization
Contact information
Practice address
8595 BEECHMONT AVE, SUITE LL3, CINCINNATI, OH 45255-4783
(513) 536-6337
(513) 536-8731
Mailing address
8595 BEECHMONT AVE, SUITE LL3, CINCINNATI, OH 45255-4783
(513) 536-6337
(513) 536-8731
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/01/2014
Last updated
10/28/2016
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