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Graceworks Enhanced Living
Intellectual Disabilities Intermediate Care Facility in Forest Park, Ohio
NPI 1821422916

Graceworks Enhanced Living is a Intellectual Disabilities Intermediate Care Facility based in Cincinnati, OH. Graceworks Enhanced Living practices in Forest Park, OH. The NPI Number for Graceworks Enhanced Living is 1821422916 and holds a License No. (Ohio).

The current practice location address for Graceworks Enhanced Living is 1045 Kemper Meadow Drive, Forest Park, OH and can be reached out via phone at 513-648-0830 and via fax at 513-612-6545.

Location: 1045 Kemper Meadow Drive, Forest Park, OH, 45246-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821422916
Provider Name
Graceworks Enhanced Living
Credential
Provider Entity Type
Organization
Address
1045 Kemper Meadow Drive, Forest Park, OH, 45246-4202
Phone Number
513-648-0830
Fax Number
513-612-6545
Provider Enumeration Date
08/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0090195 05 OH
36-G673 01 OH CMS CERTIFICATION NUMBER (CCN)
institution
Provider Business Practice Location Address Details
Address
1045 Kemper Meadow Drive
City
Forest Park
State
Ohio
Zip
45240
Phone Number
513-648-0830
Fax Number
513-612-6545
person
Provider Business Mailing Address Details
Address
1045 Kemper Meadow Drive
City
Forest Park
State
Ohio
Zip
45240
Phone Number
513-648-0830
Fax Number
513-612-6545
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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