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BEVERLY DIANE ELLIS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1639316912Organization
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 420 TIERNEY RD
FORT WORTH, TX 76112 - Phone
- (817) 534-5480
Quick Facts
- NPI
- 1639316912
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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