Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
The Homestead of Sherman
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
1000 SARA SWAMY DRIVE, SHERMAN, TX 75090
(903) 891-1730
(903) 891-1703
Mailing address
2800 W LANCASTER AVE, FORT WORTH, TX 76107-3007
(817) 681-4811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021092
—
TX
01
—
183484801
MEDICAID CO B
TX
Enumeration date
05/11/2006
Last updated
12/22/2024
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