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Organization

DORSEYSHOUSE

Active
Other names
Dorsey's House Adult Day Center, Dorsey's House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CEDRIC IVAN DORSEY (EXECUTIVE ADMINISTRATOR)
(682) 328-1214
Entity
Organization

Contact information

Practice address
5415 E LANCASTER AVE, FORT WORTH, TX 76112-6363
(682) 328-1214
Mailing address
5415 E LANCASTER AVE, FORT WORTH, TX 76112-6363
(682) 328-1214
(817) 446-2444

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
261QA0600X
Adult Day Care Clinic/Center

Other

Enumeration date
04/05/2023
Last updated
09/05/2025
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