BEVERLY DIANE ELLIS – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1639316912
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Profile Insights
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Provider Addresses for BEVERLY DIANE ELLIS
420, Tierney Road, Fort Worth, Tarrant County, Texas, 76112, United States
FORT WORTH, TX 761126324
Phone: (817) 534-5480
Fax: (817) 534-4748
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76112)
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