BEVERLY DIANE ELLIS

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Organization
NPI: 1639316912

Practice Address

420 TIERNEY RD
Fort Worth, TX 76112

Phone: (817) 534-5480

Frequently Asked Questions

NPI 1639316912 is the National Provider Identifier for BEVERLY DIANE ELLIS, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Fort Worth, TX. This NPI was enumerated on January 8, 2009.

Quick Facts

NPI
1639316912
Type
Organization
Enumerated
Jan 8, 2009
Last Updated
Jan 8, 2009

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