1639316912 BEVERLY DIANE ELLIS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- BEVERLY DIANE ELLIS
- Enumeration Date
- January 8, 2009
- Last Update
- January 8, 2009
- Authorized Official
- BEVERLY ELLIS
CEO
Phone: (817) 534-5480
Practice Location
- Address
- 420 TIERNEY RD
FORT WORTH, TX 761126324 - Phone
- (817) 534-5480
- Fax
- (817) 534-4748
Mailing Address
- Address
- 420 TIERNEY RD
FORT WORTH, TX 761126324 - Phone
- (817) 534-5480
- Fax
- (817) 534-4748
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Frequently Asked Questions
What is BEVERLY DIANE ELLIS's NPI number?
BEVERLY DIANE ELLIS's NPI number is 1639316912.
Which doctor has NPI number 1639316912?
The doctor with NPI number 1639316912 is BEVERLY DIANE ELLIS.
What is BEVERLY DIANE ELLIS's practice address?
BEVERLY DIANE ELLIS's practice address is 420 TIERNEY RD, FORT WORTH, TX, 761126324.
Which doctor practices at 420 TIERNEY RD, FORT WORTH, TX, 761126324?
BEVERLY DIANE ELLIS practices at 420 TIERNEY RD, FORT WORTH, TX, 761126324.
What is BEVERLY DIANE ELLIS's phone number?
BEVERLY DIANE ELLIS's phone number is (817) 534-5480.
Who is (817) 534-5480?
(817) 534-5480 is the phone number for BEVERLY DIANE ELLIS.
What is BEVERLY DIANE ELLIS's specialty?
BEVERLY DIANE ELLIS's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is BEVERLY DIANE ELLIS?
BEVERLY DIANE ELLIS is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is BEVERLY DIANE ELLIS a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, BEVERLY DIANE ELLIS is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is BEVERLY DIANE ELLIS still practicing?
Yes, BEVERLY DIANE ELLIS is currently practicing.
Is BEVERLY DIANE ELLIS accepting new patients?
BEVERLY DIANE ELLIS may be accepting new patients. Please call their office at (817) 534-5480 to inquire about availability.
Is NPI 1639316912 still active?
Yes, NPI 1639316912 is currently active.
Where does BEVERLY DIANE ELLIS practice?
BEVERLY DIANE ELLIS practices in FORT WORTH, TX.