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GRACEWORKS ENHANCED LIVING

Intermediate Care Facility, Mentally Retarded

Cincinnati, Ohio

Provider NPI: 1205900917

Organization Information:
Organization Name:  GRACEWORKS ENHANCED LIVING


Practice Location:
11651 WALNUT ST  CINCINNATI, OH 45246 US
Tel: 513-671-2654  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
OH3112143

Other Provider Identifiers:

IssuerNumberStateType
2032740OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS OH - Page 1



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