Organization
BELLVIEW ADVOCACY PROJECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIUS TANYIKO (ADMINISTRATOR)
(480) 295-5482
Entity
Organization
Contact information
Practice address
14606 DALLAS PKWY APT 1111, DALLAS, TX 75254-7451
(480) 295-5482
(480) 546-4950
Mailing address
14606 DALLAS PKWY APT 1111, DALLAS, TX 75254-7451
(480) 295-5482
(480) 546-4950
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/25/2019
Last updated
12/25/2019
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