Organization
THRIVE RESIDENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS TILLMAN (MANAGER)
(816) 298-3249
Entity
Organization
Contact information
Practice address
2912 BRIGHAM LANE, DALLAS, TX 75215
(816) 298-3249
Mailing address
2912 BRIGHAM LANE, DALLAS, TX 75215
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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