EDDIE ELLIS JUNIOR HCS is a residential treatment facility, intellectual and/or developmental disabilities in Fort Worth, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. EDDIE ELLIS JUNIOR HCS NPI is 1932346210. The provider is registered as an organization entity type.
The provider's business location address is:
420 TIERNEY RD
FORT WORTH, TX
ZIP 76112-324
Phone: (817) 534-5480
Fax: (817) 534-4748
The provider's authorized official is Eddie Ellis .
The authorized official title is Ceo and has the following contact phone number (817) 534-5480.
The enumeration date for this NPI number is 1/8/2009 and was last updated on 1/8/2009.