OrganizationActive
Graceful Residential LLC
NPI 1790592012 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jasper, IN
Provider details
- NPI number
- 1790592012
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Richard Areba, Ceo
Practice location
49 Arlington
Arlington Court
Jasper, IN 47546-3552
Phone: (612) 205-1423
Mailing address
49 Arlington
Jasper, IN 47546-3552
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2024-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.